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MSU-IIT COLLEGE ADMISSION TEST (MCAT)

Application No.
Test Center No.________ MCAT APPLICATION FORM _________________
Requirements:
1. Preliminary interview upon application.
2. Copy of Grades or Transcript of Records (if available) for evaluation only; Paste/ Staple ID photo here.
3. Two (2) copies ID picture 1” x1” Write your name at the back of
4. Certificate of Test Agreement (COTA) the photo.

5. Php. 225.00 testing fee (non- refundable)

DIRECTION: Please PRINT all entries neatly and legibly. Check appropriate boxes.
YOUR BIOGRAPHICAL DATA

SURNAME: FIRST NAME: MIDDLE NAME: AGE:

SEX: Male Female CIVIL STATUS: Single Married Are you a member of a cultural minority? No Yes Please Specify ______________
Date of Birth: Place of Birth: Religion: Citizenship:
Height: cm Weight: kg Blood Type: Email Address: Cellphone Number:
Present Home Address: Zip Code:
Permanent Home Address: Zip Code:
Special Skills: Sports: Musical Instruments Played: Others (specify):
EDUCATIONAL BACKGROUND
Elementary School: Type of School: Private Public
Address of School: Date of Graduation:
High School: Type of School: Private Public
Address of School: Date of Graduation:
Name of School Last Attended:
Address of School: Zip Code:
Course (taken from previous school): Units Earned: G.P.A:
REASONS for TRANSFEERING to MSU-IIT:
1. __________________________________________________________________________________________________________________________

2. __________________________________________________________________________________________________________________________

3. __________________________________________________________________________________________________________________________

YOUR PARENTS DATA

FATHER MOTHER (Maiden Name)
NAME
BIRTHDAY
EDUCATIONAL ATTAINMENT
OCCUPATION
GROSS INCOME/ YEAR
RELIGION
ETHNIC ORIGIN
CONTACT NUMBER
EMAIL ADDRESS
PRESENT HOME ADDRESS:
How many are you in the family?: Number of Brothers?: Number of Sisters?: Your rank in the family?:
PREFERRED COURSES: (see back page) Write the course/s you like to take in MSU and write its/ their code number/s in order of preference:
1st: 2nd: 3rd:
I hereby certify that all entries on this form are true and correct.
_________________________ _________________________
Date of Application Signature of Applicant

_________________________
Application Number
MSU-IIT COLLEGE ADMISSION TEST
EXAMINATION PERMIT Paste/Staple ID photo
here. Write your name
at the back of the
photo.

NAME OF APPLICANT: _________________________________________________________________________________________________________

(Surname) (Given Name) (Middle Name)
NAME OF SCHOOL LAST ATTENDED: ____________________________________________________________________________________________
ADDRESS OF SCHOOL: _____________________________________________________________________________ ZIP CODE: _________________

BRING THE FOLLOWING

ON EXAMINATION DAY:
Place of Exam: ____________________________________ Date: ______________________ Time: _____________
1. This Admission Slip Building Room No.
2. School ID
3. Blue/ Black Ballpen
Processed by: ______________________________ Date: ______________________ Signature: ________________
Important: This slip serves as temporary receipt.
 MSU- Iligan Institute of Technology
Office of the Admissions and Scholarship Administration
A. Bonifacio Avenue, 9200 Iligan City Philippines
Email: admissions@g.msuiit.edu.ph Telfax. No.: (063)223-8641
CERTIFICATE OF TEST AGREEMENT (COTA)
I hereby affix my signature to agree with the condition imposed by the Admissions Office regarding my possible enrolment into any of the
programs of MSU- IIT.
To wit:
1. That, I be allowed to take the entrance exam but my passing the same doesn’t guarantee that I will be admitted or be enrolled in the
program I want to pursue; and
2. That my enrolment is subject to availability of slot as certified by the head of the department, by the adviser, and by the dean.

________________________________
Signature Over Printed Name
Date:____________________________

MSU- Iligan Institute of Technology

Office of the Admissions and Scholarship Administration
A. Bonifacio Avenue, 9200 Iligan City Philippines
Email: admissions@g.msuiit.edu.ph Telfax. No.: (063)223-8641
CERTIFICATE OF TEST AGREEMENT (COTA)
I hereby affix my signature to agree with the condition imposed by the Admissions Office regarding my possible enrolment into any of the
programs of MSU- IIT.
To wit:
1. That, I be allowed to take the entrance exam but my passing the same doesn’t guarantee that I will be admitted or be enrolled in the
program I want to pursue; and
2. That my enrolment is subject to availability of slot as certified by the head of the department, by the adviser, and by the dean.

________________________________
Signature Over Printed Name
Date:____________________________

MSU- Iligan Institute of Technology

Office of the Admissions and Scholarship Administration
A. Bonifacio Avenue, 9200 Iligan City Philippines
Email: admissions@g.msuiit.edu.ph Telfax. No.: (063)223-8641
CERTIFICATE OF TEST AGREEMENT (COTA)
I hereby affix my signature to agree with the condition imposed by the Admissions Office regarding my possible enrolment into any of the
programs of MSU- IIT.
To wit:
1. That, I be allowed to take the entrance exam but my passing the same doesn’t guarantee that I will be admitted or be enrolled in the
program I want to pursue; and
2. That my enrolment is subject to availability of slot as certified by the head of the department, by the adviser, and by the dean.

________________________________
Signature Over Printed Name
Date:____________________________

MSU- Iligan Institute of Technology

Office of the Admissions and Scholarship Administration
A. Bonifacio Avenue, 9200 Iligan City Philippines
Email: admissions@g.msuiit.edu.ph Telfax. No.: (063)223-8641
CERTIFICATE OF TEST AGREEMENT
I hereby affix my signature to agree with the condition imposed by the Admissions Office regarding my possible enrolment into any of the
programs of MSU- IIT.
To wit:
1. That, I be allowed to take the entrance exam but my passing the same doesn’t guarantee that I will be admitted or be enrolled in the
program I want to pursue; and
2. That my enrolment is subject to availability of slot as certified by the head of the department, by the adviser, and by the dean.

________________________________
Signature Over Printed Name
Date:____________________________
 MSU- ILIGAN INSTITUTE OF TECHNOLOGY
LIST OF COURSES
COLLEGE CODE COURSES COLLEGE CODE COURSES

CASS 102 AB ENGLISH CED 164 BS HOTEL & REST. MANAGEMENT

CASS 103 AB FILIPINO CED 209 BSIEd DRAFTING

CASS AB HISTORY SET 232 DIP. IN AUTOMOTIVE ENGINEERING

104
TECHNOLOGY
CASS AB POLITICAL SCIENCE SET 233 DIP. IN CHEMICAL ENGINEERING
109
TECHNOLOGY
CASS 111 AB SOCIOLOGY SET 234 DIP. IN CIVIL ENG’G TECHNOLOGY

CASS 235 DIP. IN ELECTRICAL ENGINEERING

185 BS PSYCHOLOGY SET
TECHNOLOGY
253 DIP. IN INDUSTRIAL AUTOMATION
CBA 129 BS ACCOUNTANCY SET
MAINTENANCE ENG’G TECHNOLOGY
CBA BSBA BUS. ECONOMICS 255 DIP. IN MECHANICAL ENGINEERING
190 SET
TECHNOLOGY
CBA BSBA ENT. MARKETING 254 DIP. IN MATERIAL SCIENCE ENG’G
191 SET
TECHNOLOGY
COE 252 DIP. IN HEATING, VENTILATING, AIR-
143 BS CERAMICS ENGINEERING SET CONDITIONING, REF. ENG’G TECH.
COE BS CHEMICAL ENGINEERING Newly BS ENGINEERING TECHNOLOGY
144 SET Approved MANAGEMENT
COE Newly 2 yr. DIP. IN INDUSTRIAL AUTOMATION
146 BS CIVIL ENGINEERING SET Approved and MAINTENANCE TECHNOLOGY
COE 148 BS COMPUTER ENGINEERING SCS 149 BS COMPUTER SCIENCE

COE 152 BS ELECT. & COM. ENGINEERING SCS 177 BS INFORMATION TECHNOLOGY

COE 181 BS MECHANICAL ENGINEERING SCS 236 3- YR. DIP. ELECTRONICS ENG’G.
TECHONOLOGY
COE 182 BS METALLURGICAL ENGINEERING Newly BS ELECTRONICS AND COMPUTER
SCS Approved TECHOLOGY
COE 151 BS ELECTRICAL ENGINEERING SCS
Newly 2- YR DIP. ELECTRONICS
Approved TECHNOLOGY
CED 119 BEEd ENGLISH 139 BS BIOLOGY (BOTANY)
CSM
CED 128 BEEd SCIENCE & HEALTH CSM 140 BS BIOLOGY (GENERAL BIOLOGY)
CED 195 BSEd BIOLOGY CSM 141 BS BIOLOGY (MARINE BIOLOGY)
CED 196 BSEd CHEMISTRY CSM 142 BS BIOLOGY (ZOOLOGY)
CED 199 BSEd GENERAL SCIENCE CSM 145 BS CHEMISTRY
CED 203 BSEd MATH CSM 180 BS MATHEMATICS
CED 204 BSEd PHYSICS CSM 183 BS NURSING
CED 193 BSE MAPEH CSM 184 BS PHYSICS
CED 194 BSE TLE CSM 188 BS STATISTICS

.Newly Approved Courses are approved by the BOD Starting June 2009.