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High School Online Registration

 
All required information fields are marked with an *asterisk.
A. Personal Information B. Education C. Personal Questionnaire
Student
* Family name (in Hebrew)
* First names (in Hebrew)
* Family name (as it appears on your passport)
* First names (as they appear on your passport)
* Passport number
* Country issuing passport
* Passport expiry date
* Date of Birth (dd/mm/yy)
* Hebrew date of birth
* Place of birth (city/ country)
* Home Address
* City
* State
* Zip-code
* Country
* Telephone – home
Fax
Student's cellular
* Student's email
* What grade will you be entering next year?
We do not accept students going into other grades
Father
* Father's name
* Occupation
* Place of work
* Telephone – work
* Father's cellular
For ALL future phone contact and text correspondence
* Father's email
For all future e-mail correspondence
Mother
* Mother's name
* Maiden name
Occupation
Place of work
Telephone – work
* Mother's cellular
For ALL future phone contact and text correspondence
Mother's email
For all future e-mail correspondence
* Family status:
Continue >

 

Beit Chana Tzfat
Tel: 972-73-255-0370  |  Fax: 972-4-692-4002
E-Mail: seminar@beitchana.org
Kiryat Chabad Zefat , Israel 13410  P.O.B:  6217

Financial Department
Tel: 972-4-682-0610  |  Fax: 972-4-692-0831
E-Mail: finance@beitchana.org

 

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