Account Information
Your Bochur's NameAkiva Cohen
Bochur is aNew Student
Your NameYechiel Cohen
Phone Number+972527158681
Email AddressEmail hidden; Javascript is required.
Health Insurance

IT IS MANDATORY THAT EVERY TALMID HAS HEALTH INSURANCE WHILE IN YESHIVA.
You will receive an email with more information about obtaining health insurance, upon submitting this form.

Tuition and PaymentsStandard tuition is $2,300.00 per month.
Scholarship RequestI would like to request a reduced tuition
Requested Monthly Tuition$500.00
Confirmed Monthly Tuition$1,900.00
WARNING - Reduced Tuition I understand and agree to the below
Payment OptionsCredit Card
Tuition Credit Card Consent I have read and confirm understanding of the following:
Expenses Credit Card Consent I have read and confirm understanding of the following:
Important Documents
Upload Picture of Bochur's PassportAkiva-US-passport.jpg
Upload Picture of Bochur's Birth CertificateAkiva-birth-certificate-pic-final.jpg
Bochur's Legal NameAvraham Cohen
Bochur's Passport Number643012125
Bochur's Date of Birth13/12/2002
Bochur's Passport CountryUSA
Bochur's Passport Issued On18/12/2019
Bochur's Passport Expires On17/12/2029
Does the Bochur Have a Valid Visa?Israeli
Mispar Zehut341440857
Upload Picture of ID with Mispar ZehutAkiva-Teudat-Zehut-1.jpg
Visa InformationA Student Visa is typically valid for 2 years. The yeshiva will oversee the Student Visa application process. There is a $200 processing fee.
Bochur Rules
Remaining in Yeshiva I have read and confirm understanding of the following:
Smartphones I have read and confirm understanding of the following:
Leaving I have read and confirm understanding of the following:
Shabbosim and Trips I have read and confirm understanding of the following:
Sightseeing I have read and confirm understanding of the following:
Living Needs I have read and confirm understanding of the following:
Medical Insurance I have read and confirm understanding of the following:
Tuition Contract StatusAccepted
Registration Payment
Registration FeeRegistration Fee, Qty: 1, Price: $500.00
Billing Address360 Central Ave
Apt 230
Lawrence, NY 11559
United States
Map It
Credit CardVisa
XXXXXXXXXXXX1515
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