REPUBLIC OF THE PHILIPPINES | S.S.

DONE IN THE CITY OF BAGUIO |

WAIVER, RELEASE AND QUITCLAIM

I, LOKI A. LUFYSON, Filipino, of legal age, single and a resident of Camp 7, Baguio City,
Philippines, after being sworn to in accordance with law, depose and state:

1. That by these presents, I hereby state that I have voluntarily resigned as

Manager of Fregatta Industry;

2. That I hereby acknowledge to have received from my employer the sum of

SIXTY THOUSAND PESOS (P60,000.00) 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, PhilHealth, 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 23rd day of

December 2016 at Baguio City, Philippines.

LOKI A. LUFYSON
Affiant

1
REPUBLIC OF THE PHILIPPINES | S.S.
DONE IN THE CITY OF BAGUIO |

BEFORE ME, a Notary Public for and in the City of Baguio, Philippines, this
rd
23 day of December 2016, personally appeared the above-named parties with their
identification papers and witnesses, representing themselves to me to be the same
persons who executed the foregoing Waiver, Release and Quitclaim consisting of two
[2] pages including this page whereon this acknowledgement is written, and they
acknowledged to me that the same is their free and voluntary act and deed.

WITNESS MY HAND AND SEAL.

ATTY. VIOLAINE C. WYCOCO

Notary Public
Until December 31, 2016
N.A. No. 26-NC-15-R
IBP No. 0724948 01.05.2016 Baguio City
PTR No. 2447081 01.05.2016 Baguio City
MCLE Compliance No. V-0000135;
07.20.2013

Doc. No. 42
Page No. 42
Book No. I
Series of 2016