Form 10: Permit to Cross-enroll

(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
MSU-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 INSTITUTE REGISTRAR
Phone Nos.: (063)221-4050 to 55 local 4165; Tele/Fax:(063) 223-3794 email: registrar@g.msuiit.edu.ph

PERMIT TO CROSS-ENROLL
Permit No. __________________ ______________________
(Date)
The Registrar

___________________________________________

___________________________________________

Sir/Madam:
This is to certify that Mr. Ms. is a
student of the Institute and is classified as a _________ year student leading to the Degree Diploma in
______________________________________________ during the ____________________ Semester,
A.Y. . He She is permitted to cross-enroll in your School in the following subject/s,
but in not more than six (6) units during the period _______________ Semester/Term, A.Y. ____________
from to ____________________.
(Inclusive months and dates)

Course No. Course Title Units Chairperson of Service Dept.

(Signature Over Printed Name)

Please send to our school, in a sealed envelope with the Registrar’s signature on the flap, an Official
Transcript of Records of the student bearing the remarks “Copy for MSU-Iligan Institute of Technology” at
the soonest possible time after the close of the semester/term.
This permit, which serves as the student’s Entrance Credential to your school, is valid only for the
period indicated above and binds the student to the rules of your school within the period of enrolment or
accountability.

Adviser ___________________________________ Date: _____________

Signature over Printed Name

Chairperson ________________________________Date: _____________

Seal of MSU-IIT Signature over Printed Name

Dean/Director _____________________________ Date: _____________

Signature over Printed Name

Registrar ESMAR N. SEDURIFA, MASE Date: _____________

_________________________________________________________________________________________
Accomplish in 4 copies – for the School/University (original copy) where subject is to be cross-enrolled, the Institute Registrar,
the Department and the Student.