Release Waiver Quitclaim Undertaking Blank

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Republic of the Philippines )

Province of South Cotabato) S.S.


City of Koronadal )

RELEASE WAIVER QUITCLAIM


And UNDERTAKING

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


____________________________________________, Philippines, after being sworn to in
accordance with law, deposes and states:

1. That I am previously employed as __________________ of (name of company) located


at ________________________________;

2. I voluntarily resigned and submit my resignation letter on ____________________ and


the same was received by our Human Resource Manager;

3. I have been paid all the wages, remunerations, and benefits due me by the
management of (name of company) in the total sum of ______________________________
PESOS (P ________________);

4. Therefore, I am hereby waiving and hereby releasing (name of company) from


any and all obligations due me and arising out of my employment with the said
Corporation;

5. In consideration of the foregoing, I, for myself, successors and assigns, do hereby


release, waive and forever discharge (name of company) and/or any of its
owners and staffs from any and all actions that may now exist or may hereafter
exist or develop on account of said resignation/termination.

6. As such, I finally make manifest that I have no further claim(s) or cause of action
against (name of company), and/or any of its owners and staffs and forever
release the latter from any and all liability.

7. I hereby undertake that all sensitive and confidential information with regards
to the operations of (name of company), whether directly given or otherwise
obtain by virtue of my duties shall keep in strict confidence and shall not be
disclosed to any third party;

8. I am executing this affidavit to attest to the foregoing facts and for whatever
legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _________________ at the


City of Koronadal, South Cotabato, Philippines.

_______________________________
Affiant-Employee

SUBSCRIBED AND SWORN TO before me this ______________________ in the City of


Koronadal, South Cotabato, affiant having exhibited to me his (insert identification card)
with his photograph appearing thereon sufficient to establish his identity.

Doc. No.
Page No. ATTY. RAUL ANTON U. MALIFER
Notary Public
Book No. Koronadal City/ Tampakan
Series of 2021. Unit 2A, 2nd flr., JTCT Bldg., General Santos Dr., Kor. City
PTR OR no. 2349579/Jan. 4, 2021/ Kor. City
IBP OR No. 121903/Jan. 4, 2021 /SocGen Chapter
Roll No 70724
MCLE Compliance No. VI-0027255, May 7, 2019
Notarial Commission No. 490-43, Granted on Jan. 22, 2020
Valid until December 31, 2022
TIN 723-709-147

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