Workflow Admin
DEPRECATED Username1shuli
PARENT CRM EID20852
Account Information
DEPRECATED Bochur's Name
Your Bochur's NameMoshe Bassalian
Bochur is aNew Student
Bochur EID19675
Your NameShlomo Bassalian
Phone Number+15164044669
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
₪
Monthly Tuition
$2,600.00 per month
Scholarship RequestI will pay full tuition
Requested Monthly Tuition
Confirmed Monthly Tuition$2,600.00
WARNING - Reduced Tuition
Payment OptionsThird Party
Name on Account
Account Type
Account Number
Routing Number
Tuition Electronic Debit Consent
Third Party OrganizationDonors Fund
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 PassportUpload Picture of Bochur's Passport
Upload Picture of Bochur's Birth CertificateUpload Picture of Bochur's Birth Certificate
Bochur's Legal NameMoshe Tzvi Bassalian
Bochur's Passport NumberA46001901
Bochur's Date of Birth07/06/2006
Bochur's Passport CountryUSA
Bochur's Passport Issued On13/08/2024
Bochur's Passport Expires On12/08/2024
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 NameShlomo Bassalian
Father's Date of Birth12/05/1973
Are either of the parents Israeli?Both
Mother's NameLeah Bassalian
Mother's Date of Birth30/06/1980
Mother's Maiden NameLevian
Tuition Contract StatusAccepted
Entry Notes
Source URLhttps://mishkanshmuel.com/tuition/?payer_first=Shlomo&payer_last=Bassalian&payer_email&studentname=Bassalian
Source ID145
Created By (User)Shlomo Bassalian