REPUBLIC OF THE PHILIPPINES
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S. S.
AFFIDAVIT OF WAIVER AND QUITCLAIM
I, _________________, Filipino, of legal age, single/married and a resident of __________________________________________________, ________________________ __________________________, after having been sworn in accordance with law, hereby depose and state that: 1. I am an employee employee of Carels Carels Pharmac Pharmaceut eutica icall Inc. with busines businesss address address at Unit Unit 1402 The Centerpoint Bldg., Garnet Rd., Rd ., Ortigas Center, Pasig City. 2. I have have filed led my vol volunt untary ary res resigna ignattion ion wit with the Com Company pany eff effect ective on _____________________, attaching hereto as Annex “A” is a copy of my resignation letter. 3. Upon proper proper computati computation on by the Company’s Company’s Finance Finance Depart Department, ment, I am to to receive receive the amount of ___________________________________ (P ____________) as fina finall and and full full sett settle leme ment nt of all all such such sala salari ries es and empl employm oyment ent bene benefi fits ts in accordance with the pertinent employment contract provisions and labor laws. 4. I hereby hereby acknowledge acknowledge receipt receipt of of the sum sum of __________ __________________ ________________ ________ (Php _________), Philippine currency, representing full satisfaction of all my remaining salaries and employment benefits and as a further manifestation of the Carels’ goodwill towards me and for my benefit. 5. Furthe Furthermo rmore, re, I voluntari voluntarily ly and freely freely acknowled acknowledge ge that I have have no claims claims or right right of action, whether past, present, future or contingent, contingent, of whatever whatever nature against Carels Pharmaceutical, Inc., and any affiliated companies, its officers, that may arise relative to my employment with the company, acknowledging further that I had been duly paid all my salaries, emoluments, legal benefits and the like during the existence of my employer-employee relationship with the company and the termination of such relationship in view of my voluntary resignation from the company. 6. I hereb hereby y also also volu volunt ntar aril ily, y, free freely ly and and uncon uncondi diti tion onal ally ly waiv waivee any any and and all all such such claims, if any, and in executing this waiver and quitclaim, I have fully renounce any claims or right of action of whatever nature, whether past, present, future or contingent against said corporation and its officers, relative to my employeremployee relationship with the company and the termination of such relationship in view of my voluntary retirement from the company. 7. I affirm affirm that that I was not forced forced into into resignati resignation on and I further further affirm affirm and and confirm confirm my resignation from the company effective _______________. 8. I full fully y under underst stan and d the the stat statem emen ents ts I have have made in this this docum documen entt that that has been explained to me in a dialect/language I understand. I have affixed my signature here hereun unde derr volu volunt ntar aril ily y and and free freely ly with with full full and comp comple lete te know knowle ledge dge of the the meaning and intent of this document and of my rights under existing laws. 9. I ackno acknowl wledg edgee furt furthe herr that that any future future work or servic servicee that that I may may prov provid idee the the
Affidavit of waiver and quitclaim, Page 2 of 2
company shall be on a contractual basis, as my regular employment with the company had been extinguished in view of my resignation from the company.
AFFIANT FURTHER SAYETH NAUGHT .
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _________ 200__ at _________________________________, Philippines.
__________________ Affiant
Conforme:
________________________________ Human Resources Manager
BEFORE ME, a Notary Public, for and in _________________, Metro Manila, this ____ day of ______________________, personally appeared ____________________ with his/her CTC No. ____________ ________ issued at _____________ on ______________, known to be and to me known to be the same person who executed the foregoing Affidavit of Waiver and Quitclaim and acknowledged to me that the same is his/her free and voluntary act and deed. WITNESS MY HAND AND SEAL on the date and place first herein above stated.
NOTARY PUBLIC
Doc. No. Page No. Book No. Series of 20__.
