A&G Travel

55 Washington Street Suite 300 East Orange, NJ 07017
Tel: 1-973-677-2323
Email: info@agtravel.net

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