Waiver, Release and Quit Claim Camella

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REPUBLIC OF THE PHILIPPINES)

MUNICIPALITY OF ) S.S.
X---------------------------------------X

WAIVER, RELEASE AND QUITCLAIM


I, ________________________, of legal age, Filipino, of legal age, Married and
a resident of Davao City, Philippines, after having been duly sworn to in accordance
with law do hereby depose and say;

That by these presents, I hereby state that I am requesting


_________that all the following commission of the following accounts
attached hereto as Annex A, be transferred to me;

That I hereby declare that I have no further claims whatsoever


against my _______, 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;

I further agree that this WAIVER, RELEASE and QUITCLAIM may


be pleaded in bar to any suit or proceeding to which either, I or
my heirs and assigns, may have against my employer 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
my employer and is voluntarily accepted by me and will, if need
be, serve as full and final settlement of any amount(s) due me or
any claims or cause of action, either past, present, future, which I
may have in connection with my employment with my employer;

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


cause of action against__________, or against any person
connected with the admission and operation of the latter and
forever release the latter from any and all liability.

FURTHER AFFIANT SAYETH NONE.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _______ day


of _________ 2019, at Davao City.

_______________________

SUBSCRIBED AND SWORN TO before me this ___________________, affiant


exhibiting his _____________________ valid until ________________.

Doc. No.______
Page No. _____
Book No. _____
Series of 2019

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