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Workflow Admin
DEPRECATED Username2024
PARENT CRM EID14523
Account Information
DEPRECATED Bochur's Name
Your Bochur's NameLuzzy Blatter
Bochur is aNew Student
Bochur EID13308
Your NameNechemia Blatter
Phone Number+17186147161
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$1,000.00
Confirmed Monthly Tuition$1,000.00
WARNING - Reduced Tuition I understand and agree to the below
You have indicated that you would like to request a reduced tuition. Please note that all tuition reduction requests will be submitted to the Rosh Yeshiva for review and approval. There is no set timeframe for this process and it may impact your son's ability to enter the zman on time.
Payment OptionsThird Party
Name on Account
Account Type
Account Number
Routing Number
Tuition Electronic Debit Consent
Third Party OrganizationSelfpay
Other Third Party Organization Name
Tuition Credit Card Consent
Expenses Credit Card Consent I have read and confirm understanding of the following:
Yeshivas Mishkan Shmuel will charge the credit card labeled "Expenses" above at various times for the amount of $300 each, for the periodic Shabbatons on which the Yeshiva takes all enrolled students. Additionally, in the case that my son arrives to yeshiva without medical insurance, the credit card labeled "Expenses" above will be charged for the cost of obtaining a medical insurance policy for him.
Important Documents
Upload Picture of Bochur's PassportUpload Picture of Bochur's Passport
Upload Picture of Bochur's Birth CertificateUpload Picture of Bochur's Birth Certificate
Bochur's Legal NameElazar Menachem Man Blatter
Bochur's Passport NumberA44042502
Bochur's Date of Birth04/11/2003
Bochur's Passport CountryUSA
Bochur's Passport Issued On22/04/2024
Bochur's Passport Expires On21/04/2034
Does the Bochur Need a Visa?Yes
Upload Picture of Bochur's Valid Visa
Mispar Zehut
Upload Picture of ID with Mispar Zehut
Visa ForMyself
Missing
Visa Information

Bochurim are required to maintain a valid student visa throughout their stay. The yeshiva will oversee the Student Visa application process via our third party processor "Israelexpat.com". The Expense credit card entered above will be used to cover their fee.

Father's NameNechemia Blatter
Father's Date of Birth21/05/1964
Are either of the parents Israeli?Neither
Mother's NameMiryam Lea Yablonsky
Mother's Date of Birth20/07/1970
Mother's Maiden NameYablonsky
Tuition Contract StatusAccepted
Entry Notes
Source URLhttps://mishkanshmuel.com/tuition/?payer_first=Nechemia&payer_last=Blatter&payer_email&parent_id=13308&student_full_name=Luzzy+Blatter
Source ID145
Created By (User)Nechemia Blatter