| Workflow Admin | |
| DEPRECATED Username | 1shuli |
| PARENT CRM EID | 20521 |
| Account Information | |
| DEPRECATED Bochur's Name | |
| Your Bochur's Name | Ari Adam |
| Bochur is a | New Student |
| Bochur EID | 16558 |
| Your Name | Fishel Adam |
| Phone Number | +447833290785 |
| Email Address | Email hidden; Javascript is required. |
| Health Insurance | IT IS MANDATORY THAT EVERY TALMID HAS HEALTH INSURANCE WHILE IN YESHIVA. |
| Tuition and Payments | ₪
Monthly Tuition
$2,600.00 per month
|
| Scholarship Request | I would like to request a reduced tuition |
| Requested Monthly Tuition | $1,140.00 |
| Confirmed Monthly Tuition | $1,140.00 |
| WARNING - Reduced Tuition | I understand and agree to the below |
| Payment Options | Third Party |
| Name on Account | |
| Account Type | |
| Account Number | |
| Routing Number | |
| Tuition Electronic Debit Consent | |
| Third Party Organization | Achisomach |
| 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 Passport | Ari-Passpt-UK.pdf |
| Upload Picture of Bochur's Birth Certificate | Ari-Birth-Cert-UK.pdf |
| Bochur's Legal Name | AARON ADAM |
| Bochur's Passport Number | 137767586 |
| Bochur's Date of Birth | 26/01/2007 |
| Bochur's Passport Country | GBR |
| Bochur's Passport Issued On | 03/12/2023 |
| Bochur's Passport Expires On | 03/12/2033 |
| 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 | PHILLIP ADAM |
| Father's Date of Birth | 28/09/1971 |
| Are either of the parents Israeli? | Neither |
| Mother's Name | MATTIE ADAM |
| Mother's Date of Birth | 01/09/1976 |
| Mother's Maiden Name | MALEK |
| Tuition Contract Status | Accepted |
| Entry Notes | |
| Source URL | https://mishkanshmuel.com/tuition/?payer_first=Fishel&payer_last=Adam&payer_email&studentname=Adam |
| Source ID | 145 |
| Created By (User) | Fishel Adam |
I understand and agree to the below