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Republic of the Philippines)

Province of ____________________) S.S.


City/Municipality of _____________)
x--------------x

WAIVER, RELEASE AND QUITCLAIM

I, Jomar Roleda_, Filipino, of legal age, (single / married / widow), and a resident


of Oranbo, Pasig City, Philippines, 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


HELPER Position Held __ of __Employer CMR TRUCKING SERVICES INC.;

2. That I hereby acknowledge to have received from my employer the sum of


__Fifteen Thousand Four Hundred_ (P_15,400.00_) which is in full and final
satisfaction of my salary and other 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. I further agree that this WAIVER, RELEASE AND QUITCLAIM may be pleaded in
bar to any suit or proceeding (Civil, SSS, PhilHealth, Medicare, Labor, etc.) 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.

IN WITNESS WHEREOF, I have hereunto set my hand this 26 day of June 2020,
Maybunga Pasig City, Philippines.

Affiant

SUBSCRIBED AND SWORN TO before me this ____ day of June 2020,


Affiant exhibiting to me tis _____________ with no. ________________, bearing
his photograph nad signature.

NOTARY PUBLIC

Doc. No. _____:


Page No. _____;
Book No. ____:
Series of 2017

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