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REPUBLIC OF THE PHILIPPINES )

CITY OF PARAAQUE
) S.S.

AFFIDAVIT/WAIVER
I, IVY M. MIGUE, of legal age, Filipino, and with office address at No.
244 Diamond St., Gemini Village, Apokon, Tagum City, after having been sworn
in accordance with law, hereby depose and say that:
1. I am an applicant for abroad as a nurse in Canada through directhiring;
2. I submitted the necessary documents needed for my application for
the said nursing job ;
3. Due to personal reasons, I have to withdraw from my job application;
4. I have given the amount of FIFTY ONE THOUSAND FIVE
HUNDRED PESOS (PhP 51,500.00) as my placement fee;
5. The amount of FORTY FOUR THOUSAND PESOS (PhP 44,000.00)
of which has already been returned to me;
6. The balance of SEVEN THOUSAND FIVE HUNDRED PESOS (PhP
7,500.00) will be released upon submission of this waiver that I have
personally withdrew my application and that I have received all the
pertinent documents;
7. I hereby waive my rights to file any complaint civil or criminal against
my employer, his agents, or assigns;
8. I likewise release my employer, his agents or assigns from any
obligation financial or otherwise.
I am executing this affidavit to attest to the truth and veracity of the
foregoing facts for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto set my hand this _______
May, 2015 in the City of Paraaque.
___________________________
IVY M. MIGUE
Affiant
SUBSCRIBED AND SWORN to before me this ___________ in the City
of Paraaque, affiant having exhibited to me her ________________ with No.
_____________________.

Doc No.:______
Page No.:_____
Book No.:_____
Series of 2015.

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