OFFICE OF THE REGISTRAR

APPLICATION FOR ADVANCE CREDIT

To: The Chairman Date: _____________

Department of _______________________________

Please examine 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 ________________
COURSES COMPLETED AT:
Name of School: School Address:

COURSE NUMBER DESCRIPTIVE TITLE CREDITS

EQUIVALENT MSU COURSES, respectively:

COURSE NUMBER DESCRIPTIVE TITLE CREDITS

ACTION TAKEN: [ ] 1st Sem. [ ] 2nd Sem. [ ] Summer Term, S.Y. _____________
[ ] Examination given credits granted. Department Chairman’s Action:
[ ] Credits granted, exam not needed

Signature: _________________
Printed Name: ______________

Approved:
Respectfully submitted to the Registrar.
Dean’s Signature: ___________
Printed Name: ______________

ASSESSMENT OF FEES: CERTIFIED CORRECT:

Amount: Php ___________
O.R. NO.: ______________ By:
Date: _________________ __________________________
Printout Time:_____________________________________