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RELEASE WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

That I, __________________, Filipino, of legal age, a resident of __________________, and formerly employed with ____________ ______,
do by these presents acknowledge receipt of the sum of __________________, Philippine Currency, from _____________________ in full payment
and final settlement of the (financial assistance or separation pay, overtime pay, salary or salaries, wage or wages, commutable sick and vacation
leaves, gratutities or any kind of compensation or emoluments) due to me or which may be due to me from ____________________ under the law
or under any existing agreement with respect thereto, as well as any and all claims of whatever kind and nature which I have or may have against
________________, arising from my employment with (and the termination of my employment with ______________________.

In consideration of said payment, I do hereby quitclaim, release, discharge and waive any and all actions of whatever nature, expected,
real or apparent, which I may have against _______________, its directors, officers, employees, agents and clients by reason of or arising from my
employment with the company. I will institute no action, whether civil, criminal, labor or administrative against _________________, its directors,
officers, employees, agents and clients. Any and all actions which I may have commenced either solely in my name or jointly with others before
any office, board, bureau, court, or tribunal against _________________, its directors, officers, employees, agents and clients are hereby deemed
and considered voluntary withdrawn by me and I will no longer testify or continue to prosecute said action(s).

I declare that I have read this document and have fully understood its contents. I further declare that I voluntarily and willingly executed
this Release, Waiver and Quitclaim with full knowledge of my rights under the law.

IN WITNESS WHEREOF, I have hereunto set my hand at _____________, this ___ day of _______________, 2000.

_______________________
Affiant

SIGNED IN THE PRESENCE OF

_______________________ ______________________

RELEASE, WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS: I, __________________________________, of legal age, Filipino, married/single and presently residing at
___________________________________________________________, for and in consideration of the sum of Pesos:
__________________________________________ (P __________), receipt whereof in full is hereby acknowledged from Philippine Public School Teachers
Association (the “Association”) with principal place of business at 245 Banawe Street, Quezon City representing full payment of the Mutual Retirement Benefit
System (MRBS) under Policy No. _____________, hereby declare and accept that I have no more right or interest of any kind whatsoever from the Association
arising from the said policy and I further state that: 1. I release, remiss and forever discharge the Association, its successors-in-interest, from any action, sum of
money, damages, claims and demands whatsoever, which in law or equity I ever had, now have, or which I, my successors and assigns hereafter may have by reason
of any matter, cause or thing whatsoever, up to the time of these presents, the intention hereof being to completely and absolutely release the Association, its
successors-in-interest, from any and all liabilities arising wholly, partially or directly from my said transaction with the Association; 2. I finally declare that I have read
and understood this document of Release Waiver and Quitclaim which is hereby given and made willingly and voluntarily and with full knowledge of my rights under
the law.

IN WITNESS WHEREOF, I have hereunto affixed my signature on this _____ th day of ___________________, at __________________________.

_________________________

Affiant
Signed in the presence of:

________________________o0o_________________________

ACKNOWLEDGMENT REPUBLIC OF THE PHILIPPINES)

QUEZON CITY………………………..) S.S.

BEFORE ME, a Notary Public, on this ___ th day of ____________, at ___________, ____________________, personally came and appeared
_____________________________, with Community Tax Certificate Number _________________, issued at ___________________, on _____________,known to
me to be the same person who executed the foregoing Release Waiver and Quitclaim and acknowledged to me that the same is his/her voluntary act and deed.
WITNESS MY HAND SEAL, on the date and at the place above written.

Doc. No. ____;

Page No. ___ _;

Book No. ____;

Series of ____.

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