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RELEASE , WAIVER AND QUITCLAIM
KNOW ALL MEN BY THESE PRESENTS:
That I, , of legal age and resident of , acknowledge that my employment with ROHM Electronics Philippines, Inc. (hereinafter called the "Company") validly ceased effective , and that I have received all benefits due me arising out or in connection with my employment with the Company, including the amount of PESOS (P ), representing my final payment, as well as, unpaid salaries, gratuity pay and other benefits granted to me by the Company, in full, final and complete settlement of any and all claims I may have against the Company arising from or as a consequence of my employment with the Company or the cessation of such employment.
Furthermore, and in consideration of the foregoing -
1. I acknowledge the value of the opportunity afforded to me to be of service to the
Company.
2. I release, remise and forever discharge the Company, its parent, affiliate or subsidiary companies, their stockholders, officers,directors, agents or employees from any action, claim for sum of money, or other obligations arising from all incidents of my employment with the Company or the cessation of such employment.
3. I acknowledge that I have receive all amounts that are now or in the future may be due me from the Company. I also acknowledge that I am physically fit for work and, therefore, am not suffering from any disability.
4. I will not any time, in any manner whatsoever, disclose any information pertaining to the Company's business or affairs and/or use the name in any manner that will prejudice the interest of the Company, its parent, affiliate or subsidiary companies, their stockholders, officers, directors, agents or employees and will not disclose information concerning the business of the Company, its manner of operation, its plans, processes or data of any kind.
5. I acknowledge that I have no cause of action, complaint, case or grievance whatsoever
against the Company, its parent, affiliate or subsidiary companies, their stockholders, officers, directors, agents or employees in respect of any matter incident to or arising out of my employment with the Company of the cessation of the same. I further warrant that I will institute no action against the Company, its parent, affiliate or subsidiary companies, their stockholders, officers, directors, agents or employees and will not continue to prosecute any pending action.
6. I manifest that the grant to me by the Company of the amount herein before stated is purely a financial assistance and shall not be taken by me, my heirs or assigns as a confession or admission of liability on the part of the Company, its parent, affiliate or subsidiary companies, their stockholders, officers, directors, agents or employees for any matter, cause, demand or claim for damage which I may have against any or all of them.
7. I agree that the Company may bring action to seek an award for damages resulting from my breach of this release, waiver and quitclaim. Such award shall include but not limited to the return of whatever sums may have been paid to me by virtue hereof.
8. I finally declare that I have read this entire document, the content of which have been explained to me and which I acknowledge to understand, and the entire release, waiver and quitclaim hereby given are made by me willingly, voluntarily and with full knowledge of my rights under the law. In witness whereof, I have here unto set my hand at , this day of , .
Signed in the presence of:
ACKNOWLEDGMENT Republic of the Philippines, City of
Before me, a Notary Public and in this day of , personally
appeared who exhibited to me his/her Community Tax Cewrtificate Number issued at issued on .
Name CTC No. Date of Isuue Place of Issue
known to me to be the same person(s) who executed the foregoing document and they acknowledge to me that the same is their own free and voluntary act and dedd.
WITNESS MY HAND AND SEAL on the day, year and place above within
