Promissory Note

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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
-----------------------------------------------------------------------------------------------------------------
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

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