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QUITCLAIM & RELEASE

KNOW ALL MEN BY THESE PRESENTS:

THAT, I, __________________________, Filipino, of legal age, married/single and a resident of


_________________________________________, former employee of ________________________________ assigned
to_________________________for a period of _________________ commencing from _______________up to
___________________for and in consideration of the amount of _______________, the receipt of which is hereby
acknowledged to my full satisfaction, have released, remised and discharged and by these presents do
hereby release, remise and forever discharge _____________________________________, its proprietor
and officers, and its CLIENT-company from where i was assigened, from any and all claims, demands, actions
or causes of actions arising from my employment from __________________________________.

This instrument is a general release and quitclaim intended to relinquish the liabilities of
_________________________________________, its proprietor and officers and its CLIENT-company from
where i was assigened.

IN WITNESS WHEREOF, I have hereunto signed this instrument this _______ day of ________________
at_____________________.

____________________________________
EMPLOYEE

SIGNED IN THE PRESENCE OF:

_________________________ ____________________________

ACKNOWLEDGEMENT

Republic of the Philippines)


City of _________________ ) S.S.

BEFORE ME, a Notary Public for and in the ______________, this ____day of _________________
personally appeared____________________, who is personally known to me 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 hereunto signed this instrument this ____ day of __________________
at ______________.

NOTARY PUBLIC

Doc. No._______
Page No.______
Book No.______

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