QUITCLAIM AND RELEASE

KNOW ALL MEN BY THESE PRESENTS:

I, _____________________________________________,__________________,Filipino, of
legal age, single/married and residing at__________________, for and in consideration of the amount of
________________(P_________) to me paid by ________________and receipt of which is hereby
acknowledged to my full and complete satisfaction, do hereby release and forever discharge said
________(name of company) _____ its officers and stockholders from any and all claims arising out of
and in connection with my resignation.

I do hereby agree, commit and bind myself to the undertaking that I will not pursue any case,
whether criminal or civil against ______________________, in connection with the above-mentioned
incident.

IN WITNESS WHEREOF,etc.

ACKNOWLEDGEMENT

BEFORE ME, a Notary Public for and in the City of Tayabas, personally appeared the above-
stated person who executed the foregoing instrument which he/she acknowledged before me as
his/her/their free and voluntary act and deed.

WITNESS MY HAND AND SEAL this ______ day of_____________________ at

Tayabas City.

ATTY. NEIL ALFON S. ARANILLA

NOTARY PUBLIC

UNTIL DECEMBER 31, 2020

ROLL No. 73746

PTR No. 8465063/Jan. 2, 2019

TIN 229-590-151

Doc No. _______;

Page No. ______;
Book No. _____;
Series of 20____.