Republic of the Philippines)

Province of Davao del Sur ) S.S.

City of Digos     )
x  - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF WAIVER AND RELEASE OF LIABILITY

I, DARREN B. SABADO, Filipino, of legal age, single, and a

resident of S.D.A road, Brgy. Zone II, Digos City, Davao del Sur, after
being duly sworn to in accordance with law, hereby depose and say
that:
1. That I was medically examined by MEDISENSE
LABORATORY CENTER INC., with principal address at 2 nd
Floor, Dakudao and Sons Bldg., corner Anda San Pedro St.,
Davao City;

2. That I have expressly given my consent to MEDISENSE

LABORATORY CENTER INC. to obtain information as to my
medical condition;

3. That I expressly waived my right of confidentiality of my medical

condition and release MEDISENSE LABORATORY CENTER
INC. or any of its duly authorized representative/s from any
liability arising from disclosure of such information to persons
responsible for my deployment abroad;
4. I am executing this Affidavit to attest the truth of the foregoing
facts and for whatever legal purpose this may serve best.

IN WITNESS WHEREOF, i have hereunto set our hand this

_________________________ at Digos City, Davao del Sur,
Philippines.

DARREN B. SABADO
    Affiant
   LTO Driver’s License No. L03-06-
000693
     
           
SUBSCRIBED AND SWORN to before me this __________ at
Digos City, Davao del Sur, Philippines.

         
Doc. No. : ________
Page No. : ________
Book No. : ________
Series of 2021.