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That by virtue of this instrument, I finally acknowledge and confirm that I am no longer
connected with or employed by my former employer in any capacity as of the date of effectivity
of my resignation.
______________________
Employee
1. ______________________________ 2. _______________________________
ACKNOWLEDGEMENT
At the City of Makati, this ______ day of ________________, 20___ personally appeared
before me ______________________ with her/his Community Tax Certificate No.
_____________________ issued on ______________________ in
____________________________, known to me and to me known to be the same person
who executed this WAIVER OF CLAIMS consisting of only this page including this
acknowledged before me that the same is his/her free act and voluntary deed.
IN WITNESS WHEREOF, witness my hand and notarial seal affixed at the place and
on the date above written.
That I have not authorized and will not authorize any party to file a case in my behalf
before any court of law, Department of Labor and Employment or any government agency
regarding any matter connected with or incident to my employment with M. LHUILLIER
FINANCIAL SERVICES, INC.
I hereby certify that I have read this document before signing it and that the release and
quitclaim hereby given by me is made willingly and voluntarily with full knowledge of my rights
under the law.
_______________________
Affiant
1. _________________________________ 2. _________________________________
_______________________
Labor Standards Officer
Dept. of Labor & Employment