Dar El Salam Canada

5160 Explorer Dr. #21 Mississauga, ON L4W 4T7
Tel: 1-866-907-9990
Email: info@darelsalam.ca

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