RELEASE AND WAIVER OF LIABILITY FORM

I,_____________________________, of legal age, residing at

_______________________. By signing this agreement, I
hereby:

1. RELEASE, DISCHARGE AND PROMISE NOT TO SUE the

Department of Agrarian Reform or any other name and/or
any of its officers, employees and agents for any liability,
damages, claims or cost whatsoever arising out of or related
to my SALARY or any injuries incurred therein ;

2. AGREED expressly to this Agreement and that in the event

any portion of the latter is determined to be invalid, illegal,
or unenforceable, the validity, legality and enforceability of
the balance of the Agreement shall not be affected or
impaired in any way and shall continue in full legal force and
effect;

3. READ AND FULLY UNDERSTAND this Agreement and by

signing below I FORFIET all my rights to bring a suit against
the latter for all claims. I have made a free and deliberate
choice to sign this Agreement in my own free will without
any force or malice.

_____________ ____________________
(Date) (Name and Signature)