Waiver, Release and Quitclaim: Know All Men by These Presents

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REPUBLIC OF THE PHILIPPINES

PROVINCE OF TARLAC S.S.


CONCEPCION

WAIVER, RELEASE AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

I, Reynaldo Pangilinan, of legal age, married, Filipino citizen, and a resident of Concepcion,
Tarlac, Philippines, after having sworn to in accordance with law, hereby depose and state:

1. That I hereby acknowledge to have received from my employer the sum of Eight
Thousand Pesos (P8,000.00) 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;

2. That I hereby declare that I have no further claims whatsoever against my employer or
any of its staff and that I have 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;

3. 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 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;

4. As such, I finally make manifest that I have no further claim(s) or cause of action against
my employer nor against any person(s) connected with the administration and operation
of the latter and forever release the latter from any and all liability.

IN WITNESS WHEREOF, I hereby affix my signature this 4 th day of March 2020 at


Concepcion, Tarlac, Philippines.

_______________________
Reynaldo Pangilinan

SUBSCRIBED AND SWORN TO BEFORE ME this _____________________ at


______________________. Affiant exhibiting to me his _______________________________________,
bearing his photograph and signature and avowed the truthfulness of the foregoing declarations.

Notary Public

Doc. No. ________


Page No. ________
Book No. ________
Series of 2020

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