Form 4: Promissory Note

(Updated: Sept.. 2014)

MSU-ILIGAN INSTITUTE OF TECHNOLOGY

OFFICE OF THE REGISTRAR
A. Bonifacio Avenue, Tibanga, 9200 Iligan City

Email <registrars@sulat.msuiit.edu.ph> Tel No. (063) 223-3794

_______________
Date
PROMISSORY NOTE

To Whom It May Concern:

I herewith promise to submit the following requirements on or before ___________, 20___.

Good Moral Character

Transfer Credential/Honorable Dismissal
Xerox Copy of NSO-Authenticated Birth Certificate
1 copy 2”×2” or 1”×1” picture
Others, please specify: ________________________________________________

__________________________
Student’s Signature over Printed Name
Contact Number: ___________________
Noted: email add: ___________________
_________________________ I.D. Number: _________________
JERSON N. OREJUDOS, Ph.D. Course: _____________________
Acting Institute Registrar

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Form 4: Promissory Note
(Updated: Sept. 2014)

MSU-ILIGAN INSTITUTE OF TECHNOLOGY

OFFICE OF THE REGISTRAR
A. Bonifacio Avenue, Tibanga, 9200Iligan City
Email <registrars@sulat.msuiit.edu.ph> Tel No. (063) 223-3794

_______________
Date

PROMISSORY NOTE

To Whom It May Concern:

I herewith promise to submit the following requirements on or before ___________, 20___.

Good Moral Character

Transfer Credential/Honorable Dismissal
Xerox Copy of NSO-Authenticated Birth Certificate
1 copy 2”×2” or 1”×1” picture
Others, please specify: ________________________________________________

__________________________
Student’s Signature over Printed Name
Contact Number: _____________________
Noted: email add: ___________________
_________________________ I.D. Number: _________________
JERSON N. OREJUDOS, Ph.D. Course: _____________________
Acting Institute Registrar