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QUITCLAIM AND RELEASE

KNOW ALL MEN BY THESE PRESENTS:

I, _____________, Filipino, of legal age, (single / married / widow), and a resident of


_____________, Philippines, after being sworn to in accordance with law, depose and state:

1. That by these presents, I hereby state that I have voluntarily resigned as (Position Held) of
( Company);

2. That I hereby acknowledge to have received from my employer the sum of (P_____________) which
is in full and final satisfaction of my salary and other benefits that may be due me for the service which I
have rendered for the latter employer;

3. That I hereby declare that I have no further claims whatsoever against my employer, its President,
members of the Board, officers or any of its staff and that I hereby release and forever discharge all of
them from any and all claims, demands, cause of action of whatever nature arising out of my
employment with the latter;

4. I further agree that this QUITCLAIM AND RELEASE may be pleaded in bar to any suit or proceeding
(Civil, SSS, PhilHealth, Labor, etc.) to which either I, or my heirs and assigns, may have against my
employer in connection with my employment with the latter and that the payment which I have
received as provided herein should not in any way be construed as an admission of liability on the part
of my employer and is voluntarily accepted by me and will, if need be, serve as full and final settlement
of any amount(s) due me or any claims or cause of action, either past, present, future, which I may have
in connection with my employment with my employer;

5. As such, I finally make manifest that I have no further claim(s) or cause of action against my employer
nor against any person(s) connected with the administration and operation of the latter and forever
release the latter from any and all liability.

IN WITNESS WHEREOF, I have hereunto set my hand this ______(Date of accomplishment)_______ at


______(Company Address)_______, Philippines.

____________________________________

Name and signature of Resigned Employee

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