| Workflow Admin | |||||
| Username | uribollag06 | ||||
| CRM EID | 16458 | ||||
| Needs Farher | Yes | ||||
| Acceptance Status | Accepted | ||||
| Student Information | |||||
| Please Upload a Picture of the Student | |||||
| Student's Name | Uri Bollag | ||||
| Student's Date of Birth | 08/05/2006 | ||||
| Student's Regular Cell Phone Number | +41786373330 | ||||
| Student's Current Email Address | Email hidden; Javascript is required. | ||||
| Student's Current Home Address | wolframplatz 11 zurich, zurich 8045 Switzerland Map It | ||||
| Father's Information | |||||
| Father's Full Name | Naphtali bollag | ||||
| Cell Phone Number | +41788897714 | ||||
| Email Address | Email hidden; Javascript is required. | ||||
| Occupation | real estate developer | ||||
| Mother's Full Name | Michal bollag | ||||
| Cell Phone Number | +41788703131 | ||||
| Email Address | Email hidden; Javascript is required. | ||||
| Occupation | house wife | ||||
| Parents' Status | Married | ||||
| Tuition Payer's Name | Naphtali bollag | ||||
| Phone Number | +41788897714 | ||||
| Email Address | Email hidden; Javascript is required. | ||||
| Past Education | |||||
| Current Yeshiva | Yeshiva Gedola Tiferes Yaakov Yitzchok | ||||
| Past Yeshivas |
| ||||
| Elementary School | Tiferes doniel | ||||
| Current Rosh Yeshiva Name | R’ Chanina Brudny | ||||
| Current Rosh Yeshiva Phone Number | +19086926174 | ||||
| Current Rabbi Name | r’ Chaim Zalman herzka | ||||
| Phone Number of Current Rabbi | +13477821880 | ||||
| Financial Arrangements | Who will be making financial arrangements for the student's tuition? | ||||
| Siblings |
| ||||
| Special Circumstances | No | ||||
| Please describe the student's special circumstances. | |||||
| Student Rules | |||||
| Smartphone Policy | I have read and accept the smartphone policy. | ||||
| Bochur Signature | |||||
| Personal Items | I have read and acknowledge confirmation of the personal items policy. | ||||
| Shabbosim and Trips | I have read and acknowledge confirmation of the Shabbosim and trips policy. | ||||
| Failure to Follow Rules | I have read and acknowledge confirmation of the policy regarding failure to follow the rules. | ||||
| Application Fee | |||||
| Billing Address | wolframplatz 11 zurich, zurich 8045 Switzerland Map It | ||||
| Credit Card | Visa XXXXXXXXXXXX2504 | ||||
| Application Fee | Application Fee, Qty: 1, Price: $150.00 | ||||
| Entry Notes | |||||
| Source URL | https://mishkanshmuel.com/application/ | ||||
| Source ID | 14 | ||||
| Created By (User) | Uri Bollag |
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I have read and accept the smartphone policy.