CNG FREE D’AIR TRANSPORT, INC.

Purok 6 Sta. Rosa, Tagaytay Rd., Pulong, Sta. Cruz, Sta. Rosa, Laguna, Phils.
Tel. No. (049) 502-1734
Email: cng1221transport@yahoo.com

QUIT CLAIM

KNOW ALL MEN BY THESE PRESENT:

I, __________________________________ Filipino, of legal age, with residence at

__________________________________________________________ for and in consideration of the
amount of Philippine Peso: _______________________________________ which I hereby
acknowledge to have received in full, in satisfactory and complete payment and settlement of all
that is due and owing to me from CNG FREE D’AIR TRANSPORT, INC. in connection with my
employment on this company. I further certify that I have no more claims against the company &
staff including in moral and civil liabilities arising from my employment.

In witness whereof, I have hereunto affixed my signature this _______ day of

______________________at ___________________________________________________________.

READ CAREFULLY BEFORE SIGNING

___________________________
Signature

SIGNED IN THE PRESENCE OF:

___________________________
___________________________

ACKNOWLEDGEMENT

Republic of the Philippines

(City/Municipality of Sta. Rosa)

BEFORE ME, this day of ______________________, 20____, in ____________________

personally appeared _________________ with residence certificate number ___________________,
issued at ____________________________ and known to me and to me know to be the same person
is their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notary seal the
date, year and place above written.

NOTARY PUBLIC

Doc. No. ________

Page No. ________
Book No. _______
Series of. _______