Safa Travel

9520 Boulevard L'Acadie Suite 221 Montreal, QC H4N 1L8
Tel: 1-514-332-0137

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