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General Waiver of Action

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Republic of the Philippines) S.S.

Cebu City )
QUITCLAIM and WAIVER
I, ______________________, of legal age, married, with address at
_____________________________, hereby execute this waier and full and !nal
settlement and discharge of all claims, demands, damages, cause or
causes of action of those arising or growing out of my serices with the
company from ______ to ______.

I hereby release, remise, and foreer discharge PI"IPI#$S %$&'R
R'S()RC'S I#C., its o*cers, directors and partners, from all of claims
and from all demands, damages, causes of action, and suits arising out of
the serices I rendered with the company+ and I hereby ,uit all such
claims, demands, damages, causes of action, and suits against them.
I agree and understand that this waier is not an admission of any
liability on the part of PI"IPI#$S %$&'R R'S()RC'S I#C. and its directors
and o*cers+ and this -uitclaim and %aier shall be a bar to, and may be
utili.ed to abate, any future action and suit of whateer /ind and nature
with PI"IPI#$S %$&'R R'S()RC'S I#C.
I# %I&#'SS %0'R'(1, I hae hereunto a*xed my signature on this
___ day of ____________ 2345 at ______________ , Philippines.

AFFIANT
$C6#(%"'789'#&
:'1(R' 9', personally appeared __________________________ with
8o;t I7 ___________ #o. ____________ issued on _____________ at
__________________ /nown to me to be the same person who executed the
foregoing Receipt, Release, -uitclaim and %aier and who ac/nowledged
before me that said instrument is his free and oluntary act and deed.
%I&#'SS 9< 0$#7 $#7 #(&$RI$" S'$" on this __________ day of
______________ 2345 at ______________, Philippines.
7oc. #o.
Page #o.
:oo/ #o.
Series of 2345.

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