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Aff Quitclaim

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Republic of the Philippines )

CITY OF MANILA ) ss.

AFFIDAVIT OF QUITCLAIM

I, _________ of legal age, Filipino, married/single and with residence


and postal address at ___________________ after having been duly sworn to in
accordance with law, depose and state that:

1. I am an employee ______________.,as _________with business and


postal address at _______________________;

2. For and in consideration of _________________, which I have


received voluntarily and freely from said business, I hereby release, discharge,
free and relinquish ________________ its officers, agents, representatives
and/or their heirs from any and all claims relative to my employment with said
business:

3. The foregoing amount represents my claim/claims due me relative to


my unpaid salary, underpayment of salary, allowances, fringe benefits, overtime
pay, holiday pay and mandated benefits provided by the Labor Code;

4. I am fully aware that upon receipt of the foregoing amount and signing
of this document, I can no longer file any case against _____________its
officers, representative, agents or their heirs relative to my claims with the
National Labor Relations Commission or its attached offices;

5. I was not coerced, forced or intimidated by anyone into executing this


Affidavit of Quitclaim but solely on my own volition;

6. I am executing this affidavit to attest to the truthfulness and veracity


of the foregoing contents and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this __ day of


_______ at Manila, Philippines.

_________________
Affiant

SUBSCRIBED AND SWORN to before me this __ day of _______ at


Manila, Philippines.

Administering Officer

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