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
*
prev
next
( X )
Evaluation Fee
For evaluating and reviewing credits
$30.00
$
30.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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