Release, Waiver, Quitclaim Agreement: - (PHP - ) Which Is in Full and Final

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RELEASE, WAIVER, QUITCLAIM

AGREEMENT
I, _________________________-, of legal age, Filipino, with postal address at
______________________, after being sworn to in accordance with law, depose and state:

1. That I hereby acknowledge the receipt of my full refund amounting to


____________________(PhP ________________) which is in full and final
satisfaction of my refund claim from the Corporation. I hereby further waive
and relinquish all my rights that I or my heirs, assigns and/or successor-in-
interest/insurer may have to any further amounts/claims that may be due
me for my purchase; That I hereby declare that I have no further claims
whatsoever against the Corporation and its directors, officers, employees,
subsidiaries, affiliates, stockholders, successors, assigns, agents and
representatives; That I hereby irrevocably 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 Corporation and hereby withdraw
any claim or lawsuit, if I have any, now or in the future, against the
Corporation and its directors, officers, employees, subsidiaries, affiliates,
stockholders, successors, assigns, agents and representatives.

2. That I warrant that I will not at any time, in any manner whatsoever, directly
or indirectly commit any act prejudicial to the interest of the Corporation and
its directors, officers, employees, subsidiaries, affiliates, stockholders,
successors, assigns, agents and representatives arising out of or related to my
purchase from the Corporation.

3. That I also acknowledge that in case I violate any of the undertakings


contained herein, in any manner and for any reason whatsoever, I will hold
the Corporation and its directors, officers, employees, subsidiaries, affiliates,
stockholders, successors, assigns, agents and representatives, and owners,
and legal counsels free and harmless from any and all liabilities, damages or
injuries and shall fully indemnify and compensate the Corporation for any
and all liabilities, damages or injuries incurred or caused by such violation or
in any manner connected or related thereto.

4. That I further acknowledge that I shall exert and exhaust all efforts to enforce
compliance of the foregoing obligations and to prevent or cure any breach or
threat of breach.

5. Finally, that I declare that I have read this Release, Waiver, Quitclaim
Disclosure Agreement, and that I execute the same willingly and voluntarily
and with full knowledge of my rights under the law and its consequences.

IN WITNESS WHEREOF, I have executed this Waiver and Quitclaim this _____ day of
__________ 2021 in _________________________.

Affiant
REPUBLIC OF THE PHILIPPINES}
} S.S.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public, for and in _______________, personally appeared the
following:

Names Competent Proof Date and Place of Issue


of Identity

known to me to be the same person who executed the foregoing Waiver and Quitclaim and
acknowledged to me that the same is her free and voluntary act and deed.

This instrument refers to a Waiver and Quitclaim consisting of two (2) pages including
this page wherein this acknowledgement is written, signed by ____________________and the
instrumental witnesses.

WITNESS MY HAND AND SEAL on this _______________in _______________________.

Doc.No. _____;
Page No. _____;
Book No. _____;
Series of 2021.

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