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Workflow Admin
DEPRECATED Username1shuli
PARENT CRM EID17036
Account Information
DEPRECATED Bochur's Name
Your Bochur's NameYoni Goldberg
Bochur is aNew Student
Bochur EID16725
Your NameDoniel Goldberg
Phone Number+447779231287
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 Payments * Tuition is $2,300.00 per month. *
Scholarship RequestI will pay full tuition
Requested Monthly Tuition
Confirmed Monthly Tuition$2,300.00
WARNING - Reduced Tuition
Payment OptionsThird Party
Name on Account
Account Type
Account Number
Routing Number
Tuition Electronic Debit Consent
Third Party OrganizationToras Moshe
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 PassportYoni-Goldberg-Birth-Certificate.pdf
Upload Picture of Bochur's Birth CertificateYoni-Goldberg-Birth-Certificate1.pdf
Bochur's Legal NameJonathan Moses Goldberg
Bochur's Passport Number128226853
Bochur's Date of Birth27/07/2006
Bochur's Passport CountryGBR
Bochur's Passport Issued On01/02/2022
Bochur's Passport Expires On01/02/2027
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 NameDaniel Goldberg
Father's Date of Birth28/02/1977
Are either of the parents Israeli?Neither
Mother's NameOra Goldberg
Mother's Date of Birth29/03/1977
Mother's Maiden NameGoldberg
Tuition Contract StatusAccepted
Entry Notes
Source URLhttps://mishkanshmuel.com/tuition/?payer_first=Doniel&payer_last=Goldberg&payer_email&parent_id=16725&student_full_name=Yoni+Goldberg
Source ID145
Created By (User)Doniel Goldberg