Deed of Release, Waiver and Quitclaim (with Notice of Satisfaction of Judgment) and notarial acknowledgment.

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DEED OF RELEASE, WAIVER AND QUITCLAIM
(with NOTICE OF SATISFACTION OF JUDGMENT)
KNOW ALL MEN BY THESE PRESENTS:
In exchange for the following lawful and valuable considerations, which I
acknowledged to have received with full knowledge and to my full satisfaction:
CONSIDERATIONS
(list of considerations received by the employee)
I, (name of employee), of legal age, (civil status), (citizenship) and a resident of
(complete address), under oath, hereby agree to the following release, waiver and
quitclaim:
1. I acknowledge that I have ceased to be an employee of(name of employer) (the
“Company”) as of(effective date of severance);
2. Subject to the full satisfaction of the above-enumerated consideration which is
promissory or conditional in nature (if there is any), I hereby totally release and forever
discharge the Company, its parent companies, its subsidiary companies, its sister
companies, its affiliates, its investors, incorporators, stockholders, directors, officers,
managers, supervisors, employees, agents, representatives, consultants and other parties
and entities related the Company, from any claim, demand or complaint arising from my
employment with the Company or under any labor and employment law, rule and
regulation, contract, principle of equity, or jurisprudence;
3. I hereby voluntarily withdraw,or agree and consent to the immediate dismissal of
any claim,demand, complaint or lawsuit of whatever nature (whether criminal, civil or
administrative) which I have filed, initiated or instituted (or caused to be filed, initiated or
instituted) against the Company, its parent companies, its subsidiary companies, its sister
companies, its affiliates, its investors, incorporators, stockholders, directors, officers,
managers, supervisors, employees, agents, representatives, consultants and other parties
and entities related the Company (if any);
4. I hereby likewise voluntarily withdraw, revoke, recall and/or recant any
accusations, allegations, statements that I may have uttered or written against the
Company, its parent companies, its subsidiary companies, its sister companies, its
affiliates, its investors, incorporators, stockholders, directors, officers, managers,
supervisors, employees, agents, representatives, consultants and other parties and entities
related the Company (if any);
5. I hereby declare that the above-enumerated consideration received by me now or
in the future (in case of promissory or conditional consideration, if there is any) shall not
be taken by me, or by my heirs and assignees, as an admission or confession of fault,
negligence or liability on the part of the Company,its parent companies, its subsidiary
companies, its sister companies, its affiliates, its investors, incorporators, stockholders,
directors, officers, managers, supervisors, employees, agents, representatives, consultants
and other parties and entities related the Company;
6. I hereby admit that during my employment with the Company, I received any and
all salaries, compensations, benefits and refunds of whatever nature which are due me
under law, rule and regulation, contract, jurisprudence, principle of equity, and Company
policy and practice; and that the above-enumerated considerations already represent my
last, final, entire and only remaining pay or claim;

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7. Should I be found judicially to be entitled to any further or additional awards or
amounts (such as when this Deed is already too late or ineffective to cause the dismissal
or withdrawal of my pending claim,demand, complaint or lawsuit of whatever nature), I
hereby completely and voluntarily waive my right to receive the same or cause the
execution of such judgment, and this Deed shall serve as my Notice of Satisfaction of
Judgment, which I consent to be submitted to the concerned court or government agency
for the final closure of the case.
8. I also declare that I have not been norI am now suffering from any work-related
illness, disease, injury or disability attributable to my employment with the Company;
9. I have read this document in its entirety, and understood it completely as it is in
English, a language I learned in school. I was given an opportunity to ask questions and
to consult with a lawyer of my choice before I made my decision to sign this Deed. This
document was also explained to me by (name of company officer who explained this
document) before I willingly and voluntarily placed my signature in the presence of
witnesses whom I know and trust; and so I acknowledge that this document is a complete
settlement of all my claims as narrated above; and
10. In the event that the above-narrated promissory or conditional consideration (if
there is any) is not fulfilled for whatsoever reason, I hereby agree to strictly confine and
limit my claims, demands and complaints to the enforcement, implementation or
performance of such above-narrated promissory or conditional consideration (if any).
Signed this (date signed by the employee) at (place signed by the employee).
(signature of employee over his printed name)
(description of employee’s valid government issued identification with photograph and
signature. NOTE: A photocopy of said identification should be attached to this Deed.)
Witnesses:
(signature of 1st
witness over his printed name)
(signature of 2nd
witness over his printed name)
(NOTE: I strongly suggestthat one of the witnesses should be an officer of the
Department of Labor and Employment or DOLE with his/her position and office
clearly indicated. I also suggest that several photographs be taken of the signing of the
Deed by the employee and the witnesses, and then these should be attached to this
Deed.)
REPUBLIC OF THE PHILIPPINES }
____________________________ }S.S.
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in ________________________________,
Philippines, this _________________________________, personally appeared:

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NAME OF EMPLOYEE GOVERNMENT ISSUED IDENTIFICATION
(name of employee) _______________________________________
known to me and to me known to be the same person who executed the foregoing
instrument, and (he/she) acknowledged to me that the same is (his/her) own voluntary
act and deed.
Witness my hand and seal.
Doc. No. _____
Page No. _____
Book No. _____
Series of _____.
(Note: I also strongly suggest that several photographs be taken of the oath
taking of the employee before the notary public, and then these should be
attached to this Deed.)