RELEASE AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

THAT I, __________________________________________, of legal age and with residence

address at _________________________________________________________ , after being sworn
to in accordance with law hereby depose and state:

For and in consideration of the full payment of all my claims, including my final pay, refund
of withholding tax, pro rata 13th month pay, and in full settlement of all my claims, (computation of
which is attached here and receipt of same is hereby acknowledged) from
________________________ hereinafter referred to as the COMPANY, a corporation organized
under Philippine laws, with principal office at _______________________________, I hereby
completely and absolutely discharge and release the COMPANY, its representatives, agents,
successors and assign from any and all liabilities arising wholly or partially, directly or indirectly from
my employment with the aforementioned.

For this purpose, I hereby freely and voluntarily acknowledge and accept the validity and
legality of my separation from the COMPANY.

That on account of my separation from the COMPANY, I authorized the Accounting

Department/ Payroll Unit to deduct from my salary and other remunerations any or all monies/
accountabilities due to the COMPANY.

In addition, I acknowledge that during my employment with the COMPANY, I received all
compensation and benefits that are due me under the law, contract and/ or company policy and that the
COMPANY has enforced such law, contract or policy according to lawful standards and desirable
business practice.

Should I be found, judicially or otherwise, to be entitled to any further amount, I admit and
acknowledge the foregoing consideration as full and final satisfaction of any and all such undisclosed
claims. I also acknowledge that I have not been and not now suffering from any work connected
illness or disability;

I have read this document and understood the same. The release and quitclaim herein is given
by me willingly and voluntarily and that this document covers a complete settlement of all my claims
against the COMPANY, its clients, officers, directors and agents.

Signed this _________ day of __________________, 2009 in the city of ___________.

________________________
AFFIANT

Signed in the presence of:

_____________________________ ______________________________

Republic of the Philippines)

City of Pasay ) S.S.

SUBSCRIBED and sworn to before me this _______ day of ____________, 2009, affiant
personally appeared presenting before me his/ her CTC No. _______________________ issued on
__________________________ at ________________________, known to me and to me known to
be the same person who executed the foregoing Receipt, Release and Quitclaim and acknowledged to
me the same as his/ her free and voluntary act and deed.

WITNESS MY HAND AND SEAL on the date and place first above written.

NOTARY PUBLIC
Doc No. _________________
Page No._________________
Book No. ________________
Series of 2009