RECEIPT AND SATISFACTION

OF CLAIMS AND RELEASE

I, _____________________, _____ years old, Filipino, married and a

resident of __________________________________________, Philippines, do
hereby state that for and consideration of the sum of TWENTY THOUSAND
PESOS, (P 20,000.00), Philippine Currency, receipt of which from ___________,
owner of ___________, is hereby acknowledged, representing full settlement of
my separation pay. I hereby certify that I have no other / further
claimswhatsoever against ___________, and/or ___________.

I hereby voluntarily release ___________, and/or ___________, and

hereby state that I am executing this release and quitclaim of my own volition
without any pressure from any person. I further state that I understood fully the
contents thereof and the consequences of the execution of this document.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_________________ in the City of Davao, Philippines.

_________________________
Worker/Employee of ___________,

Signed in the presence of: ________________ & __________________

SUBSCRIBED AND SWORN to before me this ___________________ in

the City of Davao, Philippines. Affiant exhibited to me his Community Tax
Certificate No. _______________ issued on __________ at ________________
and his valid and competent ___________________________________.

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2020.