WAIVER, QUITCLAIM AND RELEASE

Employee Name: Date Hired:

Unit/Department: Admin Date of Sep:
Unit Head:

In connection with my separation from the Company, I hereby certify that I have received the amount of
XXXXXXXXXXXXXXXXXXXXXXX Pesos and XX/100 pesos only representing the following:

Regular Earnings 00,000.00

13th Month Pay 00,000.00
Net Amount Due ₱ 00,000.00

Prepared and checked by:

I hereby fully acknowledged from COMPANY NAME. and hereby absolutely and forever waive, released discharge and quitclaim any
and all rights, claims, interest or causes of actions of whatever nature which I now have by virtue and /or administrative and by
virtue of the payment and conditions herein made, I hereby bind myself, my heirs, administrators, successor and assigns to this
quitclaim and release which may be pleaded in bar to any action of whatever nature which I may institute against COMPANY NAME
its principals, stockholders, directors officers or employees, arising from above mentioned claims.

I hereby state further that by virtue of the payment and conditions herein make, I have no claim, right or action of whatever nature,
whether past, present or contingent against COMPANY NAME. or any of its officers, stockholders, directors or employees.

I further state that I will not testify in any proceeding that may be file for and in behalf by anymore against COMPANY NAME or any
of its officers, stockholders, directors or employees by virtues of my employment of my separation there from.

I hereby state that I have read and understood the foregoing waiver, release and quitclaim.

IN WITNESS WHEREOF, I have freely and voluntarily signed this document on this _____ day of _________________ at Muntinlupa
City.

SIGNATURE OVER PRINTED NAME

SIGNED IN THE PRESENCE OF

SUBSCRIBED AND SWORN TO before me this ______________, at ______________City, Philippines, Affiant exhibited to me
her Government issued ID No Passport No XXXXXX.

Doc. No. ____;

Page No.____;
Book No.____;
Series of ____.