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Transcript
WITH THE NAME ALLAH, THEM MERCIFUL BENEFACTOR, THE MERCIFUL REDEEMER
Declaration of conversion to Islam
Date _______________________
To whom this may concern,
This is to certify that I,_________________________________________________,
have publicly declared that: “Nothing deserves worship except Allah t’ala and Prophet
Muhammad
is His Messenger”.
Signature of Pilgrim: _____________________________________________________
I ___________________________________________________ (Imam/Representative
of the Islamic Center, here by declare that Brother / Sister converted to Islam. They are
eligible to perform the Hajj /Umrah.
For further information, please contact the undersigned.
Sincerely,
Imam
Signature:_______________________________________________________________