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Waiver and Quitclaim Form 14
Waiver and Quitclaim Form 14
WAIVER/QUITCLAIM
The aforesaid amount represents the full amount which I am entitled to receive from the said
company.
I bind myself not to pursue any future claim with any tribunal, judicial and/ or quasi-judicial
agency, and/or lodge any complaint against the said company.
IN WITNESS WHEREOF, I have hereunto affixed my signature on July 27, 2021 in Davao
City, Philippines.
JENNIFER C. HINGPIT
Affiant
Employees ID no. _______________
_____________________ ____________________
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the City of Davao on __________ personally came
and appeared __________________________ with his Gov’t Issued ID as shown above, known to
me and to me known to be the same person who executed the foregoing instrument and who
acknowledged to me that the same is his free and voluntary act and deed.
IN WITNESS WHEREOF, I have affixed my seal and signature on the date and place first
above written.