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Online Registration - Copy 1

this is a form for registration
  • Student Information:

  • Arrival Information:

  • Emergency Contact Details :

  • Medical information:

    You are responsible for sufficient accident and medical insurance coverage. It is advisable to adapt accident and health insurances and also to take out a theft and luggage insurance.*Please note: It is mandatory for Home Ulpan students to have Medical Insurance during their stay in Israel.
  • Israel is mostly a smoke free environment, but you are permitted to smoke outdoors.
  • Course details:

  • This field is for validation purposes and should be left unchanged.


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