EMPLOYEE WAIVER, RELEASE, AND QUITCLAIM

REPUBLIC OF THE PHILIPPINES )

City of Parañaque ) SS.

I, Marj, Filipino, of legal age, single, and a resident of

__________________, after having been duly sworn in accordance
with law, hereby depose and say:

1. That I am an employee of Haffy’s Food Hub having been

employed therewith as service crew since _______________;

2. That Haffy’s Food Hub has ceased its operations effective

_____;;

3. That I hereby acknowledge to have received from my

employer the sum of _______________________________
(Php ___________) 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;

3. That I hereby declare that I have no further claims

whatsoever against my employer, its President, CEO, Chairman
and 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;

4. I further agree that this WAIVER, RELEASE AND

QUITCLAIM may be pleaded in bar to any suit or proceeding
(Civil, Labour, SSS, PhilHealth, Medicare, 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;

5. 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 have hereunto affixed my signature this
___day of October, 2019 at Parañaque, Philippines.

_________________________________
MARJ

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

Parañaque City this ____th day of October 2019. Affiant personally came and
appeared with _____________(Competent Evidence of Identity)______ issued
by the _________(Government Agency)______ on ___(date)__ at
________(place)_________, bearing his photograph and signature, known to me
as the same person who personally signed the foregoing instrument before me
and avowed under penalty of law to the whole truth of the contents of said
instrument.

Doc. No.___
Page No. ___
Book No. ___
Series of 2019.