Workflow Admin
Usernameuribollag06
CRM EID16458
Needs FarherYes
Acceptance StatusAccepted
Student Information
Please Upload a Picture of the StudentPlease Upload a Picture of the Student
Student's NameUri Bollag
Student's Date of Birth08/05/2006
Student's Regular Cell Phone Number+41786373330
Student's Current Email AddressEmail hidden; Javascript is required.
Student's Current Home Addresswolframplatz 11
zurich, zurich 8045
Switzerland
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Father's Information
Father's Full NameNaphtali bollag
Cell Phone Number+41788897714
Email AddressEmail hidden; Javascript is required.
Occupationreal estate developer
Mother's Full NameMichal bollag
Cell Phone Number+41788703131
Email AddressEmail hidden; Javascript is required.
Occupationhouse wife
Parents' StatusMarried
Tuition Payer's NameNaphtali bollag
Phone Number+41788897714
Email AddressEmail hidden; Javascript is required.
Past Education
Current YeshivaYeshiva Gedola Tiferes Yaakov Yitzchok
Past Yeshivas
  • yeshiva lezeirim Beis Aryeh Yehuda
Elementary School

Tiferes doniel

Current Rosh Yeshiva NameR’ Chanina Brudny
Current Rosh Yeshiva Phone Number+19086926174
Current Rabbi Namer’ Chaim Zalman herzka
Phone Number of Current Rabbi+13477821880
Financial Arrangements

Who will be making financial arrangements for the student's tuition?

Siblings
Name Age
Moishi 32
Special CircumstancesNo
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 Addresswolframplatz 11
zurich, zurich 8045
Switzerland
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Credit CardVisa
XXXXXXXXXXXX2504
Application FeeApplication Fee, Qty: 1, Price: $150.00
Entry Notes
Source URLhttps://mishkanshmuel.com/application/
Source ID14
Created By (User)Uri Bollag

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