RELEASE AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

That I, __________________________, of legal age, Filipino and with  address at

______________________________________________ in consideration of  
( ) in SALARY for the month of ,
inclusive of all government mandated fees; (ie. SSS, PhilHealth, Pag-Ibig, etc…) received by me
in full and to my entire satisfaction for all moneys and benefits due me in connection with my
employment with , plus: a SEPARATION PAY of
having been employed for and hereby release
and forever discharge  from any and all money claims, causes of
action or otherwise.

 That, I have no more claims or rights of action of whatever kind and nature against
.

 And I hereby confirm that this Release and Quitclaim is being executed by me voluntarily and in
a language familiar to me and is not intended to circumvent or defeat any provision of law, rule
or regulation.

 That, I hereby attest that I fully understood all the terms and conditions of this Release and
Quitclaim as well as the legal implications thereof and I hereby express my complete agreement
thereto.

 IN WITNESS THEREOF, I hereunto affix my signature and thumb marks this

______________________   in Cebu City.

Signature over Printed Name:                       Right Thumb Mark:

Signed in the presence of:

 _____________________                 ____________________

ACKNOWLEDGMENT
 Republic of the Philippines)

_____________________ ) SS.

BEFORE ME, a Notary Public for and in _______________________ this

______________________  personally appeared the following person  whose identity I have
confirmed through competent evidence of identity bearing his/her picture and signature as
described below:

DATE AND PLACE OF

 NAME TYPE OF ID. NUMBER
ISSUANCE/EXPIRY DATE.

 
     

known to me to be the same person who executed  the foregoing instrument consisting of 2 pages
and he/she  acknowledged to me that the same is his/her free and voluntary act and deed.

WITNESS MY HAND AND SEAL at the place and on the date first-above written.

Doc. No. _______;

Page No. _______;

Book No. ______;

Series of _______.