Republic of the Philippines)

City/Municipality of San Juan

WAIVER, RELEASE AND QUITCLAIM

I MICHAEL G. TILLAN Filipino, of legal age, (single / married / widow), and a resident of
_________________________________________________________, after being sworn to in
accordance with law, depose and state:

1. That by these presents, I hereby state that I have rendered service as Sales Consultant at Canopy Home
Philippines Co., Inc.;

2. That I hereby acknowledge to have received from my employer the sum Four Thousand Two Hundred
Seventy-Nine Pesos and 68/100. (Php 4,279.68) which is in full and final satisfaction of my salary and
other benefits that may be due me for the service which I have rendered for the latter employer;

3. That I hereby declare that I have no further claims whatsoever against my employer, its President,
members of the Board, officers or any of its staff and that I hereby release and forever discharge all of
them from any and all claims, demands, cause of action of whatever nature arising out of my employment
with the latter;

4. I further agree that this WAIVER, RELEASE AND QUITCLAIM may be pleaded in bar to any suit or
proceeding (Civil, SSS, Phil Health, Medicare, Labor, etc.) to which either I, or my heirs and assigns, may
have against my employer in connection with my employment with the latter and that the payment which
I have received as provided herein should not in any way be construed as an admission of liability on the
part of my employer and is voluntarily accepted by me and will, if need be, serve as full and final
settlement of any amount(s) due me or any claims or cause of action, either past, present, future, which
I may have in connection with my employment with my employer;

5. As such, I finally make manifest that I have no further claim(s) or cause of action against my employer
nor against any person(s) connected with the administration and operation of the latter and forever
release the latter from any and all liability.

IN WITNESS WHEREOF, I have hereunto set my hand this __________________________at San Juan,
Metro Manila, Philippines.

Affiant

___________________________

BEFORE ME, a Notary Public, on this ____________, at ___________, personally appeared the following
persons, exhibiting to me their valid and current identification documents with their pictures and
signatures appearing thereon:

NAME Competent Evidence of Identity Date and Place of Issue / Validity

known to me and to me known to be the same persons who executed the foregoing Release Waiver and
Quitclaim consisting of ____ pages, and they acknowledged to me that the same is their true and voluntary
act and deed as well as the true and voluntary act and deed of the entities they represent.

WITNESS MY HAND SEAL, on the date and at the place above written.

Doc. No. ________;

Page No. ________;
Book No. ________;
Series of ________.