Republic of the Philippines)

City of ______________ )S.S.

x---------------------x

WAIVER, RELEASE AND QUIT CLAIM

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

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

1. That I am an employee of HEBE BEAUTY COSMETICS, INC. with business address at 20th Floor TOW/NEO Building 3rd
Avenue corner 28th Street, Fort Bonifacio City, Taguig City, 1634, Metro Manila, Philippines.

2. End of Contract with the Company effective on APRIL 28, 2022 attaching hereto as Annex “A” is a copy of my resignation
letter.

3. Upon proper computation by the Company’s Finance and Human Resource Department, I hereby acknowledge to have
received from my employer the sum of Six Thousand One Hundred Seventy Pesos and 20/100 Only (Php6,170.20) which
is in full and final satisfaction of my salary and other benefits that may be due me for the services which I have rendered
for the latter employer; in accordance with pertinent employment contract provisions and labor laws.

4. That I fully understand that the amount stated above will be credited on my bank account with the following details to
wit, upon compliance of the Waiver, Release and Quitclaim Form:

Bank: __________________________
Bank Account No.: __________________________
Account Name: __________________________

5. 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.

6. 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;

7. 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 _______ day of _______, 2022 at ______________ City, Philippines.

_______________________________________
(EMPLOYEE’S PRINTED NAME OVER SIGNATURE / DATE)
Affiant

REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF TAGUIG) SS.
ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of ______, personally appeared _____________ with
__________________ No. _____________ issued on _____________ at _____________, known to me and to me known to
be the same person who executed the foregoing instrument which (he/she) acknowledged to me as (his/her) free and
voluntary act and deed, consisting of only ______ (____) page/s, including this page in which this Acknowledgement is written,
duly signed by (him/her) and (his/her) instrumental witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines. NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of ______;