Form 13: Application for Graduation

(Updated: Sept. 2014)

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
registrar@g.msuiit.edu.ph

email:

APPLICATION FOR GRADUATION

Date: _____________
The Chancellor
MSU-Iligan Institute of Technology
Iligan City
Through: The Registrar
Dear Sir/Madam:
I have the honor to apply for graduation with, and conferment of the

Degree of

Diploma in
___________________________________________________________________________________________,
with major/option in ____________________________________________________________________________
during the _________ Commencement Exercises of the Institute on
_____________________________________.
I have completed the requirements as of
(date)____________________________________________
I will complete the requirements on (date)______________________________________________
and I am submitting these pertinent documents and items:
Certification of Completion of Work Experience (if required by the program)
Graduation Fee O.R. No. _________________________________________
Diploma Fee
Doctoral Degree Php 500.00
Masters Degree . 300.00
Bachelors Degree........... 150.00
Non-Degree Program .. 100.00
Diploma Jacket.. 150.00
Application for Graduation....300.00
Gown/Cap Rental.. 100.00
Transcript of Records (P50/page) . 150.00
(recommended)
(note for TOR payment, student will be reassessed later if payment is less than that required)

1 pc. Documentary Stamp

1 2 x 2 Graduation Photo (without cap)1 2 x 2 Graduation Photo (with cap)-

write full name, ID# & course at back of picture

write full name, ID# & course at back of picture

Lifetime Membership to AIITAFI (O.R #________________)Php 600.00

MSUAA Membership (O.R #_________________________) 200.00

Form 13: Application for Graduation

(Updated: Sept. 2014)

Yearbook Fee (O.R #______________________________)................1,000.00

1 pc. Long Brown Envelope
__________________________________________________________________
Name to be printed in the DIPLOMA: (print clearly):
_____________________________________________________________________________________
Home address to be printed in the graduation program (print clearly):
_____________________________________________________________________________________
Mailing Address (if not the same as Home Address)
Contact
Number
e-mail: ___________________________
Very respectfully yours,
_______________________________
(Signature over Printed Name)
-------------------------------------------------------------------------------------------------------------------------------------------------------Deans Checklist:
A hard copy and an electronic file of the students evaluation records are submitted to the Registrars

Office.

The student is recommended to the Institute Council as a candidate for graduation.

_______________________________________
(Deans/Directors Signature over
Printed Name)
Prepare this form in 3 copies - 1 copy each for Registrar, Dean/Director and Student