Workflow Admin
DEPRECATED Username1shuli
PARENT CRM EID17046
Account Information
DEPRECATED Bochur's Name
Your Bochur's NameBinyamin Kruger
Bochur is aNew Student
Bochur EID16081
Your NameShai kruger
Phone Number+17185107151
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 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
Payment OptionsThird Party
Name on Account
Account Type
Account Number
Routing Number
Tuition Electronic Debit Consent
Third Party Organizationself pay cash
Other Third Party Organization Name
Tuition Credit Card Consent
Expenses Credit Card Consent I have read and confirm understanding of the following:
Important Documents
Upload Picture of Bochur's PassportIMG_2543.pdf
Upload Picture of Bochur's Birth CertificateUpload Picture of Bochur's Birth Certificate
Bochur's Legal Namebinyamin kruger
Bochur's Passport Numbera50171285
Bochur's Date of Birth21/09/2004
Bochur's Passport Countryusa
Bochur's Passport Issued On05/08/2024
Bochur's Passport Expires On04/08/2034
Does the Bochur Need a Visa?Israeli
Upload Picture of Bochur's Valid Visa
Mispar Zehut214927840
Upload Picture of ID with Mispar ZehutUpload 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 Name
Father's Date of Birth
Are either of the parents Israeli?
Mother's Name
Mother's Date of Birth
Mother's Maiden Name
Tuition Contract StatusAccepted
Entry Notes
Source URLhttps://mishkanshmuel.com/tuition/?payer_first=Shai&payer_last=kruger&payer_email&parent_id=16081&student_full_name=Binyamin+Kruger
Source ID145
Created By (User)Shai Kruger