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WAIVER OF CLAIMS

KNOW ALL MEN BY THESE PRESENTS:

That I, ___________________________ Filipino, of legal age and resident of


_____________________________________________for and in consideration of the sum
___________________________________________________ ( P _________ ), Philippines
Currency receipt of which is hereby acknowledged and confessed, paid to me to my entire
satisfaction, as full payment for my resignation pay and further acknowledge and confirm that I
have no more such claims of such nature against my former employer named above as well as
salaries, wages, overtime pay, holiday pay, incentive pay, allowances and 13th month pay and I
do by these presents hereby renounce waive and abandon all monetary demands from my former
employer M. LHUILLIER FINANCIAL SERVICES, INC.

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.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ________


day of ____________, 20__ at the City of Makati, Philippines.

______________________
Employee

SIGNED IN THE PRESENCE OF:

1. ______________________________ 2. _______________________________

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)


CITY OF MAKATI ) S.S.
_____________________________

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.

DOC NO. _______


PAGE NO. _______
BOOK NO._______
SERIES OF 20____
QUITCLAIM AND RELEASE

KNOW ALL MEN BY THESE PRESENTS:

That I, _____________________________________of legal age and a resident of


_____________________________________________________________, after having
been voluntarily resigned from my employment with M. LHUILLIER FINANCIAL
SERVICES, INC. hereby acknowledge receipt of the amount of
___________________________________( P__________ ), Philippine Currency, from the said
company, in FULL SETTLEMENT of any and all claims of whatever kind and nature which I
have or might have against the said company on account of, or incident to, my employment
therewith and/or termination therefrom. In consideration of the said payment, I have remised,
released and forever discharged and by these presents do for myself, my heirs, successors and
assigns, remiss, release and forever discharge M. LHUILLIER FINANCIAL SERVICES,
INC. its representatives, officers against and assigns from any and all claims incident to or
connected with my employment with the said company.

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.

IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of


_____________, 20___ at Makati City, Philippines.

_______________________
Affiant

SIGNED IN THE PRESENCE OF:

1. _________________________________ 2. _________________________________

SUBSCRIBED AND SWORN TO before me this _______day of _________________ at


Makati City, Philippines.

_______________________
Labor Standards Officer
Dept. of Labor & Employment

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