Transfer Credit Request Form
Please Fill Out the Form Below to Submit Your Transfer Credits Request
Full name in English
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Email
*
example@example.com
Degree Applied For
*
Please Select
Ph.D.
Master
Bachelor
Associate
Program
*
Please Select
Islamic Studies
Aqeedah
Shariah
Quranic Sciences
Hadith Sciences
Jurisprudence
Medium of Instruction
*
Please Select
English
Arabic
Date of enrollment
*
-
Month
-
Day
Year
Date
Date of graduation (if applicable)
-
Month
-
Day
Year
Date
Type of Transcript being submitted
*
Please Select
Official
Unofficial
Number of Credits needing review
*
Upload Transcripts Here
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Delivery Method
*
Please Select
Mail
Electronic
I hereby confirm that the above information is correct and accurate to the best of my knowledge. I have reviewed all the details thoroughly and the evaluation fee is non-refundable.
I Agree:
Service Fee
*
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next
( X )
Evaluation Fee
For evaluating and reviewing credits
$
30.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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