Syaza Travel & Tours Sdn Bhd

No 18/AF & 18M, Jalan Kosas 1/5, Taman Kosas, Ampang, SEL 68000
Tel: +603-4296 2019

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