WAIVER AND WITHDRAWAL

I, ______________________________________, of legal age, Filipino citizen,

and a resident of ___________________________________________________________,
after having been sworn in accordance with law, hereby depose and state that:
1.

I AM WITHDRAWING from the investment plan that I have

entered with MOHANDAE PILSU INTERNATIONAL (Infinity

2.

Essentials) and;
I acknowledge that such action severs my connection entirely
with MOHANDAE PILSU INTERNATIONAL (Infinity Essentials)

3.

its officers and or employees as a client and;

I understand that my prior application to join the company is
done with my own freewill without any coercion or unwanted

4.

force by any third party or whatsoever of any sort

I understand that re application for a possible continuation of
my previous investment of any future investment program,
service , or offer of

5.

MOHANDAE

PILSU INTERNATIONAL

(Infinity Essentials) is solely based upon their discretion and;

I have the full capacity to continue my investment or any
investment I obtained with the aid of other marketing firm
except for the affiliates of MOHANDAE PILSU INTERNATIONAL
(Infinity Essentials) and unless otherwise expressed in writing

6.

by the same
I understand that such withdrawal entitles the return of the

7.

amount of my investment if any;

I understand that computation and breakdown of any claim,
expense, or analogous matters of such will have a waiting
period of 90 days from the date of signature and submission to
give way to correspondence services as a result of my sudden
withdrawal including the completion and documentation of
receipts encumbered during my investment and analogous

8.

situation;
I hold MOHANDAE PILSU INTERNATIONAL (Infinity Essentials)
free from any liability in relation thereto pending to the delivery

9.

of the reimbursement of my case if any;

MOHANDAE PILSU INTERNATIONAL (Infinity Essentials) and
its officers and or employees are in no way obligated to perform
in my favour any prestation or service as of the signing of this

document and as such I shall make no further claim from them

before any tribunal, agency or office, nor shall I make any
public claim as to any matter in relation hereto and as such as,
I hereby hold them free from any liability in relation thereto
pending
10.

the

delivery

of

reimbursement

report

and

reimbursement of my case if any;

I have received the total liability or obligation of MOHANDAE
PILSU INTERNATIONAL (Infinity Essentials) such that to declare
that any and all obligations of the latter in my favour has been
satisfied in full pending the delivery of the reimbursement

11.

report and reimbursement of my case if any; and

I hereby WAIVE any other obligation not mentioned herein and
by QUITCLAIM, I hereby forego any claim against MOHANDAE
PILSU INTERNATIONAL (Infinity Essentials) pending to the
delivery of the reimbursement report and reimbursement of my

12.

case if any.
I understand that the process of my withdrawal will only
commence upon the signing of this document.

IN

WITNESS

WHEREOF,

have

hereunto

set

my

hand

____________________________in _______________________________________.

___________________________
Affiant
ID Presented: ____________________
ID Number: ____________________
Valid Until: ____________________
Conforme:
___________________________
For Mohandae Pilsu International

REPUBLIC OF THE PHILIPPINES

CITY OF BAGUIO

)
)

S.S

JURAT

this

SUBSCRIBED AND SWORN to before me this ______________________________

in the City of Baguio, Republic of the Philippines; affiant personally appeared
and presented to me competent evidence of identity, the details of which appear
below the name and signature indicated above.
Doc. No. ________
Page No. ________
Book No. ________
Series of 2015.