Shahada (Conversion to Islam) Certification

Shahada (Conversion to Islam) Certification Application Form

Applicant’s Information

Applicant’s Name *

Muslim Name

Father’s Name *

Mother’s Name *

Nationality *

Date of Birth *

ID Card Number *

Date of Issue *

Address
(Home Country)

Address *
(Japan)

Phone Number *

Email Address *

Date of Convert *

Upload Documents

Proof of Identity* (Passport/ Driving License/ Residence Card/ My Number Card etc.) Accepted formats: JPG, PNG, PDF

Photograph of the applicant*
4cm x 3cm Accepted formats: JPG, PNG, PDF

Passport (Mandatory for Foreign Residents) Accepted formats: JPG, PNG, PDF

Declaration*

I, hereby declare that the information provided in this application is accurate to the best of my knowledge, and I am committed to learning and practicing the principles of Islam. I undertake to participate actively in the Muslim community and seek knowledge to strengthen my faith.

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