Employee Statement Protecting Confidential Information

I hereby acknowledge that I have received all salary and
compensation due me during my employment with [name of company].

I also certify that during my course of employment I have not
done or permitted any of the following:


1. disclosure of any trade secrets or other confidential data of
the company.

2. retained any copies of any documents, materials, or drawings
that are of a confidential nature.

I acknowledge that I am obligated not to disclose any of the
company's trade secrets or any other confidential or sensitive
data regarding the company. In addition, I acknowledge that the
company has the right to inform my new employer or prospective
employer of my obligation not to disclose any of [name of
company]'s trade secrets or confidential data.

Dated:




_________________________________
[signature of departing employee]


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