Form 7: Application for Advance Credit

(Updated: July 24, 2017)

Republic of the Philippines

MINDANAO STATE UNIVERSITY
Charter: Republic Act No. 1387 (1955), as amended by R.A. Nos. 1893, 3791 (1963) and 3868
ILIGAN INSTITUTE OF TECHNOLOGY
Charter: Republic Act No. 5363 (1968)

A. Bonifacio Avenue, Tibanga, 9200 Iligan City Website: http://www.msuiit.edu.ph

OFFICE OF THE REGISTRAR

Telephone Nos: (063) 221-4050 to 55 Local 4165, Tele/Fax (063) 223-3794, e-mail: registrar@g.msuiit.edu.ph

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APPLICATION FOR ADVANCE CREDIT

Date: _____________

To: The Chairman

Department of _______________________________

Please examine the records of Mr./Ms. _______________________________________ and award

him/her Advance Credit to which he/she is entitled under regulation adopted by the University Council.

Dean’s Signature: ______________________

Printed Name : ______________________

COURSE/S COMPLETED AT:

Name of School: ______________________________________________________________________
School Address: ______________________________________________________________________

COURSE NUMBER COURSE TITLE CREDITS

EQUIVALENT MSU COURSES PER ORDER INDICATED ABOVE

COURSE NUMBER COURSE TITLE CREDITS FACULTY
EVALUATOR

ACTION TAKEN: [ ] 1st Sem. [ ] 2nd Sem. [ ] Summer Term, A.Y. __________________

[ ] Examination given, credits granted

[ ] Examination not needed, credits granted
Dep’t. Chair’s Signature: _________________
Printed Name : _________________
Approval:
Respectfully submitted to the Registrar,

Dean’s Signature: ______________________

Printed Name : ______________________

ASSESSMENT OF FEES: CERTIFIED CORRECT BY:

Amount : Php _____________ _____________________________________

O.R. No : _________________
Date : _________________ APPROVED BY:

ESMAR N. SEDURIFA, MASE

Acting Institute Registrar
Note: If you are a transferee, please attach Transcript of Records.
Accomplish in 3 copies – for the Registrar, the Department and the Student.