Application for Certificate of Embracing Islam

Please note this form is only for those who accepted Islam from the South African Islamic Centre (SAIC Dubai). If you accepted Islam from any other centres please contact them or visit IACAD website: eservices.iacad.gov.ae

First Name

Last Name

Email Address

Gender

Date of Birth

Date of Shahada (Declaration of Islam)

Nationality

Passport No

Mobile Number

Whatsapp Number

Previous Religion

Islamic Name (Optional)

Please write the name you have chosen as Muslim. Leave this field empty if you would like to keep your 1st name

Visa Status

Marital Status

Emirate of Residence

Address in UAE

What would be your preferred timing to attend New Muslim Classes?

Preferred Language of communication

Reason for accepting Islam

Upload Passport Size Photo (White Background)

Ladies please upload head covered (hijab) photo

Uplaod Passport Copy

Upload Visa copy

Upload Emirates ID front side.

Upload Emirates ID back side

Application for Certificate of Embracing Islam

Contact Info

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