RELEASE WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

That I, ______________________, Filipino, of legal age, a resident

__________________________________________, and formerly employed with
____________________________________________ do by these presents acknowledge receipt of
the sum of ____________________________________________ (Php0,000.00), Philippine Currency,
from December 1, 2018 to July 13, 2019, in full payment and final settlement of the (financial
assistance or separation pay, 13th month pay, overtime pay, salary or salaries, wage or wages,
commutable sick and vacation leaves, gratuities or any kind of compensation or emoluments) due
to me or which may be due to me 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 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
_________________________, OWNERS by reason of or arising from my employment with the
company. I will institute no action, whether civil, criminal, labor or administrative against MJT
INGENIERIA CO., 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 ____________________________________________________
owners are hereby deemed and considered voluntary withdrawn by me and I will no longer testify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 this _____ day of

____________________ at ______________________, Philippines.

___________________
Affiant

SIGNED IN THE PRESENCE OF

_______________________ _____________________

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)

CITY OF _____________ ) S.S

BEFORE ME, a notary for and in the City of ______________, personally appeared
___________________________, known to me to be the same persons who executed the
Release Waiver and Quit claim, acknowledged to me that the same is his voluntary act and
deed.

WITNESS MY HAND AND SEAL, on the date and place first above written.

Doc. No.______;
Page No. ______;
Book No.______;
Series of 20__.
 EMPLOYEE CLEARANCE

Date

TO WHOM IT MAY CONCERN

This is to certify that

(Name of Employee)
deployed at
(Position) (Office where Employee is Assigned/Deployed)

has been cleared of all money/property accountabilities and all other responsibilities and is not
otherwise indebted according to the records of this Office. Effective date of his separation from
the service shall be at the close of the office hours of
because of

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