REPUBLIC OF THE PHILIPPINES }

_______________________ } s.s

RELEASE WAIVER AND QUITCLAIM

I, _________________________________________of legal age, with address at

_______________________________________________, hereby acknowledge and accept the
lawful cessation of my contractual employment with LBP Service Corporation (LBPSC, for brevity)
hereinafter referred to as Employer, effective on ________________, and further manifest and
declare that:

1. I acknowledge having received from my Employer to my full and complete satisfaction, all
amounts due me from my Employer. I further declare that I have been fully paid my salaries, and
such other benefits/amount including any financial assistance that may be due me, whether such
amounts are by virtue of my contract of employment, the lawful cessation of my employment
with the Employer or any laws, rules on equity, company program and/or company practices.

2. In consideration of the foregoing payments, I hereby release, remise, waive and forever discharge
my Employer, its principals, stockholders, officers, directors, agents, employees and associates
from any action, whether civil, criminal, administrative or otherwise, or from any claim of any
kind or character arising out of or in connection with any employment or any legal separation
therefrom such as, without limitation, salaries. Allowances, holiday pay, fringe benefits, 13 th
Month Pay, tax refunds, or any financial assistance.

3. I will not, at any time in any manner whatsoever, directly or indirectly, disclose to any person or
entity any information of any kind relating to the business of LBPSC or any of its client companies
to where I am assigned, or to any of their affiliates or related companies, including but not
limited to information concerning their business, their manner of operations, plans, processes or
data of any kind which I acquired, learned, and received during my employment.

4. I shall render every cooperation necessary and obligate to turn over and account for all records,
banks, money, properties and assets in my possessions.

5. I hereby declare that I have no cause of action whatsoever against my employer, its principals,
stockholders, officers, directors, agents, employees and associations in respect of any matter
incident to or arising out of my employment or cessation thereof.

6. I further declare that if I commit an act contrary to any provision of this document, I will hold my
employer free and harmless from any and all liabilities and will pay for all damages suffered by
them.

7. I have read this document entitled Release Waiver and Quitclaim, and fully understood every
word of it and its meaning and have affixed my signature hereunder voluntarily and freely with
the full and complete knowledge of the meaning and intent of the documents and of any rights
under existing laws and rules on equity.

8. I HEREBY AUTHORIZE LBPSC TO DEPOSIT THE PROCEEDS OF MY QUITCLAIM TO MY LANDBANK

ATM PAYROLL ACCOUNT NO. ________________________.

Affiant Date

Subscribed and sworn to before me this day of___________200 , affiant exhibiting to

me his/her SSS Identification Card No. ___________________.

Doc. No. _______

Page No. _______
Book No. _______
Series of _______