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	Workflow Admin
DEPRECATED Username	1shuli
PARENT CRM EID	16915
Account Information
DEPRECATED Bochur's Name
Your Bochur's Name	Aaron Luban
Bochur is a	New Student
Bochur EID	15926
Your Name	Shaul Luban
Phone Number	+17325524588
Email Address	Email 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 Payments	* Tuition is $2,300.00 per month. *
Scholarship Request	I would like to request a reduced tuition
Requested Monthly Tuition	$1,350.00
Confirmed Monthly Tuition	$1,500.00
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 Options	Third Party
Name on Account
Account Type
Account Number
Routing Number
Tuition Electronic Debit Consent
Third Party Organization	Canada Relief 613
Other Third Party Organization Name
Tuition Credit Card Consent
Expenses Credit Card Consent	I have read and confirm understanding of the following: It is required that every parent supply the Yeshiva with an expense credit card. This card will be used for the extra "Achdus Shabbatonim" the yeshiva plans at various times throught the year, in the amount ranging between $300 - $500. This expense card will also be used in the event your son arrives to Yeshiva without the required Health Insurance, Proper kosher phone, and the Student visa application.

Important Documents
Upload Picture of Bochur's Passport	My-Passport-Book.pdf
Upload Picture of Bochur's Birth Certificate	My-Birth-Certificate-1.pdf
Bochur's Legal Name	Aaron Shlomo Luban
Bochur's Passport Number	A19986423
Bochur's Date of Birth	30/09/2005
Bochur's Passport Country	usa
Bochur's Passport Issued On	19/05/2023
Bochur's Passport Expires On	18/05/2033
Does the Bochur Need a Visa?	Yes
Upload Picture of Bochur's Valid Visa
Mispar Zehut
Upload Picture of ID with Mispar Zehut
Visa For	Myself
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 Name	Shaul Luban
Father's Date of Birth	15/12/1979
Are either of the parents Israeli?	Neither
Mother's Name	Sarah Luban
Mother's Date of Birth	01/06/1985
Mother's Maiden Name	Sarah Michelle Hassan

Tuition Contract Status	Accepted
Entry Notes
Source URL	https://mishkanshmuel.com/tuition/?payer_first=Shaul&payer_last=Luban&payer_email&parent_id=15926&student_full_name=Aaron+Luban
Source ID	145
Created By (User)	Shaul Luban