RELEASE WAIVER AND QUITCLAIM Release of documents and cancellation of visa processing KNOW ALL MEN BY THESE PRESENTS:

That I, __________________, Filipino, of legal age, a resident of __ ________________, do by these presents RETRIEVE ALL THE DOCUMENTS FOR VISA PROCESSING from MR. ERNIE C. SARINO AND O.S.I Law Firm COMPLETELY. Upon retrieval, I subject myself to pay Mr . Ernie C. Sarino and O.S.I. Law Firm the amount of ____________________________ _ (__________________). Ako si _____________________, Filipino, nasa wastong gulang, at nakat ira sa __________, sa bisa ng aking salaysay ay nakuha ang lahat ng mga dokument o para sa pagproseso ng visa ng walang kulang mula kay G. Ernie C. Sarino at O.S .I Law Firm. Sa aking pagkakatanggap ng lahat ng ito, ako ay nakatalagang magbay ad kay G. Ernie C. Sarino at O.S.I Law Firm ng halagang ___________________ (___ ____________________). In consideration of said payment and release of documents, I do hereby quitclaim , release, discharge and waive any and all actions of whatever nature, expected, real or apparent, which I may have against Mr. Ernie C. Sarino and O.S.I. Law F irm, its directors, officers, employees, agents and clients. I will institute n o action, whether civil, criminal, labor or administrative against Mr. Ernie C. Sarino and O.S.I. Law Firm, its directors, officers, employees, agents and clien ts. Any and all actions which I may have commenced either solely in my name or jointly with others before any office, board, bureau, court, or tribunal against Mr. Ernie C. Sarino and O.S.I. Law Firm, its directors, officers, employees, ag ents and clients are hereby deemed and considered voluntary withdrawn by me and I will no longer testify or continue to prosecute said action(s). Kasabay ng pagbibigay ko ng kabayaran at pagtanggap ko sa aking dokumento, tinat anggalan ko ang aking sarili ng anumang karapatan na magreklamo o magsampa ng ka song sibil, criminal, administratibo o ukol sa pagtatrabaho sa kahit anong kahih inatnan o kinahinatnan ng pagpoproseso ng aking dokumento laban kay Mr. Ernie C. Sarino at O.S.I Law Firm. Alinsunod dito, ang lahat ng reklamo o asunto ng iban g tao o anumang opisina, korte, kawanihan, o hukuman kaugnay ng kasunduang ito a y aking binabawi o inuurong at ako ay hindi kakatawan para sa nabanggit. I declare that I have read this document and have fully understood i ts contents. I further declare that I voluntarily and willingly executed this R elease, Waiver and Quitclaim with full knowledge of my rights under the law. Walang pag aalinlangan kong isinasaad na nabasa at naunawaan ko ang laha t ng nakapaloob sa kasulatang ito. Akin rin isinasaad na ako ay kusang loob at m ay kagustuhan na ipatupad ang lahat ng nasasaad dito. IN WITNESS WHEREOF, I have hereunto set my hand at _____________, this ___ day of _______________, 2012. Nilagdaan sa ____________________, ika- ________ ng ____________, 2012. _______________________ Affiant SIGNED IN THE PRESENCE OF SAKSI _______________________ ______________________