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    of 1

    JSU - AMOSUP PROVIDENT FUND Date Printed : 01/11/24

    Time Printed : 13:02:10


    QUIT CLAIM AND RELEASE

    KNOW ALL MEN BY THESE PRESENTS:

    I, BIAY, EMMERSON MALANUM of legal age, Filipino, and with residence and postal address at
    PANGPANG SAN CARLOS CITY do hereby acknowledge receipt of the sum of PHP 98,836.81 as
    equivalent to the amount of US$ 1,784.38 based on the current official foreign rate, which constitutes
    as payment for the Provident Fund by AMOSUP - PTGWO ITF and JSU - based on the length of
    service of BIAY, EMMERSON MALANUM with the company per the service record hereto attached
    as ANNEX "A".

    Now, THEREFORE, the foregoing premises considered, I have hereunto remised, released, and
    forever discharged, and do for myself, my heirs, executor and administrators, forever discharge the
    AMOSUP - PTGWO-ITF and JSU, their successors, assigns, director, officers and members from any
    and all manner of action or actions, cause/s of action, sum/s, of money, accounts damages or
    members, I ever had or may have, or which our heirs, executors, administrators can or shall or may
    have, upon or by reason or upon any matter, cause or thing in connection with, arising our of, and by
    reason for the case aforementioned.

    IN WITNESS WHEREOF, I have hereunto affixed my signature this 10th day of January, 2024, at
    Manila, Philippines.

    BIAY, EMMERSON MALANUM


    PRINTED NAME AND SIGNATURE

    If representative, attached Special Power of Atty.

    PRINTED NAME AND SIGNATURE

    Witness Witness

    SUBSCRIBED AND SWORN TO before me this 10th day of January, 2024, at the City of
    Manila, affiant exhibited his/her Residence Certificate No. ______________ Issued on ______________
    at ___________________.

    Doc No.
    Page No.
    Book No.
    Series of

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