WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

That I, ____________________________________________ Filipino, of legal age , resident of

________________________________________________ and formerly employed with ___________________, do by
these presents acknowledge receipts of the sum of ____________________________________, Philippine
Currency, from ________________________________ in full payment and final settlement of the (financial
assistance or separation pay, overtime pay, salary or salaries, wage or wages, commutable sick and
vacation leaves, gratutities or any kind of compensation or emoluments) due to me or which may be
due to me from ___________________________________ under the law or under any existing agreement with
the respect thereto, as well as any and all claims or whatever kind and nature which or may have
against ___________________________, arising from my employment with ( and the termination of my
employment with _______________________________.

In consideration of said payment, I do hereby quitclaim, release, discharge and waive any and all
actions of whatever nature, expected, real or apparent, which I may have against
___________________________, its directors, officers, employees, agents and clients by reason of a arising
from my employment with the company. I will institute no action, whether civil, criminal, labor or
administrative against _________________________________, its directors, officers, employees, agents and
clients. Any all actions which I may have commenced either solely in my name or jointly with others
before any office, board, bureau, court, or tribunal against ____________________________________, its
directors, officers, employees, agents and clients are hereby deemed and considered voluntary
withdrawn by me and I will no longer testify or continue to prosecute said action(s).

I declare that I have read this document and have fully understood its contents. I further declare
that I voluntary and willingly executed this Release, Waiver and Quitclaim with full knowledge of my
rights under the law.

IN WITNESS WHEROF, I have hereunto set my hand at this ________day of _____________, 2018.

SIGNED IN THE PRESENCE OF Affiant

________________________________ ________________________________