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REPUBLIC OF THE PHILIPPINES }

______________________________ } ss.

RELEASE WAIVER AND QUITCLAIM

I, __________________________________ of legal age, with address at


__________________________________________________, hereby acknowledge and
accept the lawful cessation of my contractual employment with LBP Service Corporation
(LBPSC, for brevity) hereinafter referred to as Employer, effective on ________________, and
further manifest and declare that:

1. I acknowledge having received from my Employer to my full and complete


satisfaction, all amounts due me from my Employer. I further declare that I have
been fully paid my salaries, and such other benefits/amount including any financial
assistance that may be due me, whether such amounts are by virtue of my contract
of employment, the lawful cessation of my employment with the Employer or any
laws, rules on equity, company program and/or company practices.

2. In consideration of the foregoing payments, I hereby release, remise, waive and


forever discharge my Employer, its principals, stockholders, officers, directors,
agents, employees and associates from any action, whether civil, criminal,
administrative or otherwise, or from any claim of any kind or character arising out of
or in connection with any employment or any legal separation therefrom such as,
without limitation, salaries. Allowances, holiday pay, fringe benefits, 13th Month Pay,
tax refunds, or any financial assistance.

3. I will not, at any time in any manner whatsoever, directly or indirectly, disclose to any
person or entity any information of any kind relating to the business of LBPSC or any
of its client companies to where I am assigned, or to any of their affiliates or related
companies, including but not limited to information concerning their business, their
manner of operations, plans, processes or data of any kind which I acquired,
learned, and received during my employment.

4. I shall render every cooperation necessary and obligate to turn over and account for
all records, banks, money, properties and assets in my possessions.

5. I hereby declare that I have no cause of action whatsoever against my employer, its
principals, stockholders, officers, directors, agents, employees and associations in
respect of any matter incident to or arising out of my employment or cessation
thereof.

6. I further declare that if I commit an act contrary to any provision of this document, I
will hold my employer free and harmless from any and all liabilities and will pay for all
damages suffered by them.

7. I have read this document entitled Release Waiver and Quitclaim, and fully
understood every word of it and its meaning and have affixed my signature
hereunder voluntarily and freely with the full and complete knowledge of the meaning
and intent of the documents and of any rights under existing laws and rules on
equity.

Affiant

Date

Subscribed and sworn to before me this day of 200 , affiant exhibiting to me


his/her SSS Identification Card No.

Doc. No.
Page No.
Book No.
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