REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF LABOR AND EMPLOYMENT

NATIONAL CAPITAL REGION
MUNTAPARLAS FIELD OFFICE
3rd Floor Valenzuela Building, Alabang-Zapote Road, Las Pinas City

ROSE ANN JUAN, ET. AL.,

Complainant,

-versus- RFA-2020-000884

JOYFUL JOURNEY SHUTTLE

SERVICE, INC. and RHENA LYN ATILLO
(OPERATIONS MANAGER),
Respondents.
x----------------------------------------------------------x

QUITCLAIM AND RELEASE WITH MOTION TO DISMISS

COMES NOW, the undersigned JIMUEL ULEP, in the above-entitled case,

before this Honorable Office, respectfully manifests:

That for and in consideration of the sum of SIXTEEN THOUSAND NINE

HUNDRED SEVEN PESOS AND EIGHT CENTAVOS (P16,907.08) under BDO Check
No. 207458 in full satisfaction of my complaint and/or in settlement of my claim/claims
as financial assistance and or gratuitously given by my employer, receipt of which is
hereby acknowledged to my complete and full satisfaction, I HEREBY RELEASE AND
FOREVER DISCHARGE the above-named respondents from any and all claims by way
of wages, commission, overtime pay, holiday pay, differential pay, service incentive
leave, cash bond, uniform allowance and 13 th month pay or otherwise as may be due me
in connection with my past employment with said respondents. In addition, I received
the amount of Php ___________, for __ sets of uniform that I returned to the company. I
hereby state further that I have no more claims or right of action of whatsoever nature,
whether past, present or contingent against said respondents.

I hereby affirm that by virtue of this quitclaim and release I have no more claims
or right of action whatsoever nature, whether past, present or contingent against said
respondents. IN VIEW HEREOF, I hereby move for the dismissal of the above-entitled
case with prejudice.

IN WITNESS WHEREOF, I have hereunto freely, voluntarily, intelligently, and

without any mental reservation set my hand this 1 st day of December 2020 in Las Pinas
City.

JIMUEL ULEP
Complainant
LTO Driver’s License No.
__________________

PINIRMAHAN AT SINUMPAAN sa harap ko ngayong ika__ ng December 2020,

sa lungsod ng _______________________, Pilipinas. Pinapatunayan ko rin na na suri ko
ng mabuti ang Nagsasaysay at ang salaysay na ito ay kanyang pinatotohanan sa akin at
kanyang isnilaysay ito ng buong laya at hindi labag sa kanyang kalooban.

ADMINISTERING OFFICER