Republic of the Philippines)

Province of Cebu) S.S.

City of Cebu)
x--------------x

WAIVER, RELEASE AND QUITCLAIM

I, ___________, Filipino, of legal age, single/married, and a resident of ___________________,

after being sworn to in accordance with law, depose and state:

1. That, by these presents, I hereby state that I have voluntarily resigned as Admin Staff /
Encoder of _______________ (hereinafter referred to as “______________” for brevity)
effective August 11, 2020;
2. That I hereby acknowledge to have received from my employer the sum of TWENTY
ONE THOUSAND EIGHT HUNDRED THIRTY FOUR and FORTY CENTAVOS (Php
21,834.40), which is the full and final satisfaction of my salary and other legally
mandated benefits that may be due me for the service which I have rendered for the latter
employer;
3. That I hereby declare that I have no further claims whatsoever against my employer, its
President, members of the Board, officers or any of its staff and that I hereby release and
forever discharge all of them from any and all claims, demands, cause of action of
whatever nature arising out of my employment with the latter;
4. That I further agree that this WAIVER, RELEASE AND QUITCLAIM may be pleaded
as a bar to any suit or proceeding to which either I, or my heirs and assigns, may have
against my employer in connection with my employment with the latter and that
the payment which I have received as provided herein should not in any way be
construed as an admission of liability on the part of my employer and is voluntarily
accepted by me and will, if need be, serve as full and final settlement of any amount(s)
due me or any claims or cause of action, either past, present, future, which I may have in
connection with my employment with my employer;
5. As such, I finally make manifest that I have no further claim(s) or cause of action against
my employer nor against any person(s) connected with the administration and operation
of the latter and forever release the latter from any and all liability;
6. That, further, I acknowledge that I am indebted to my employer in the total amount of
_________________ (Php _______).

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________, Philippines.

Affiant

Witnesses:

______________ ________________

SUBSCRIBED AND SWORN TO before me this __________________ in

___________________, with affiant exhibiting to me his competent evidence of identity
______________________________ .

Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2020.