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 22 or 11 picture
Others, please specify: ________________________________________________

__________________________
Students Signature over Printed Name
Contact Number: ___________________

Noted:
_________________________
JERSON N. OREJUDOS, Ph.D.
Acting Institute Registrar

email add: ___________________

I.D. Number: _________________
Course: _____________________

----------------------------------------------------------------------------------------------------------------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 22 or 11 picture
Others, please specify: ________________________________________________

__________________________
Students Signature over Printed Name
Contact Number: _____________________

Noted:
_________________________
JERSON N. OREJUDOS, Ph.D.
Acting Institute Registrar

email add: ___________________

I.D. Number: _________________
Course: _____________________