Philhealth Waiver
Philhealth Waiver
Philhealth Waiver
City/Municipality of Manila
x--------------x
WAIVER
I, _____________, Filipino, of legal age, (single / married / widow), and a
resident of _____________, Philippines, depose and state:
4. I further agree that this WAIVER may be pleaded in bar to any suit or
proceeding (Civil, SSS, PhilHealth, Medicare, Labor, etc.) to which either I, or
my heirs and assigns, may have against my sister, Maria Isabel Banzon
Beltran, in connection with my claim to the business of our mother.
5.As such, I finally make manifest that I have no further claim(s) or cause of
action against Miguis Cafe 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 set my hand this _____________
at _____________, Philippines.
Affiant