WAIVER, RELEASE AND QUITCLAIM

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

___________________ of abc Inc. (“ABC”) / b-CD Ltd., Corp. (“BCD”);

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

ABC/BCD, 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 WAIVER, RELEASE AND QUITCLAIM may be

pleaded in bar to any suit or proceeding (Civil, SSS, PhilHealth, Medicare,
Labor, etc.) to which either I, or my heirs and assigns, may have against
ABC/BCD 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 abc/bcd and is voluntarily
accepted by me and will serve as full and final settlement of any amount due
me or any claims or cause of action, either past, present, future, which I may
have in connection with my employment with ABC/BCD

5. As such, I finally make manifest that I have no further claim(s) or cause of

action against ABC/BCD nor against any person 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 _____________ at

_____________, Philippines.

____________________
Affiant
 SUBSCRIBE AND SWORN TO before me this ______________________
affiant exhibiting to me, by way of competent evidence of identity,his/her
________________________ issued on _______________________at _________________.

Doc No. _______

Page No. ______
Book No. ______
Series of 2017.