Probashi Travel Hajj

5 Frederick Pl.
Parlin, NJ 08859
Tel: (732) 451-3969

Proof of Conversion to Islam


Date ________________________________


This is to certify that ________________________________________ has publicly declared that "Nothing deserves worship except Allah, and prophet Mohammad is his messenger, and therefore is a converted Muslim, and an active member.


Signature of Masjid Imam or Administrator


Male Family member's Signature
First Witness