Termination Certification

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Termination Certification-
I the above mentioned Employee do not possess nor have I failed to return any device, data,
reports, proposals, lists, and or correspondence belonging to [Company] mentioned above or
any of its subsidiaries.
I have held all the terms of this Agreement with [Company] which has been signed by me
including the disclosing any inventions and original works of authorship in Exhibit A that were
conceived or made by me.
I also agree that I will preserve all trade secrets, confidential knowledge data and all other
proprietary information relating to the products, designs, processes and experimental work,
computer programs, customer lists, business plans, and financial information or any other
subject matter pertaining to any business of [Company] or any of its clients or consultants.
__________________________________________________________
Date____________
Signature of Employee
___________________________________________________________
Print Name

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