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The International Ulpan Netanya - Registration Form
Please note
Click
the upper right
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to change
the form
language
Have your
Misrad HaKlita Voucher
and
Teudat Oleh available
Please
fill
the form using
Latin letters
Personal Information
Name
*
First Name
Last Name
Israeli I.D. number
*
Current Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Date Of Birth
*
-
Day
-
Month
Year
Date Picker Icon
Age calculation
Israeli Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
WhatsApp Number
*
Same as my Israeli phone number.
Different from my Israeli phone number.
WhatsApp Number
*
-
Country Code
-
Area Code
Phone Number
Email
*
Personal email
Residential Address
*
City
*
Street name
*
Buildding #
*
Apartment #
*
Floor #
Date of Aliyah
-
Day
-
Month
Year
Date Picker Icon
Misrad HaKlita Voucher
This is an example of the Misrad HaKlita voucher we need. Upload a ** CLEAR, SHARP ** photo of YOUR Misrad HaKlita voucher.
Verify your voucher validity in the highlighted red box
If expired, please renew your voucher at Misrad HaKlita; the Ulpan cannot accept or renew expired vouchers.
Please submit your **VALID** Misrad HaKlita Voucher.
*
I'd like to attach my voucher file
I'd like to take a photo of my Voucher
Select / Drop your Misrad HaKlita Voucher to upload it
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Take a photo of your Misrad HaKlita voucher to upload it
*
Teudat Oleh
This is an example of the Teudat Oleh we need. Upload a ** CLEAR, SHARP ** photo of the Teudat Oleh page showing YOUR personal details.
Note
Some Teudat Oleh certificates have only one page.
Please submit a copy of your Teudat Oleh
*
I'd like to attach my Teudat Oleh file
I'd like to take a photo of my Teudat Oleh
Select / Drop your Teudat Oleh to upload it
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Take a photo of your Teudat Oleh to upload it
*
Back
Next
Class options
Please select your preferred class schedule
Class preference
*
Morning class: 5 mornings a week, 8:30 - 13:00
Evening class: 2-3 evenings a week, 17:00 - 20:15
I have no preference. Both options are fine
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Next
Class option
Please confirm your class schedule
Class Confirmation
*
Morning class: 2-3 mornings a week, 8:30 - 13:00
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Next
Prior Hebrew Knowledge
Hebrew level
*
No! I have no prior knowledge
Yes, I have some knowledge
Have you scheduled an appointment at the Ulpan for your Hebrew proficiency assessment?
*
No, not yet
Yes, I already have a scheduled appointment
To ensure optimal class placement, please schedule an appointment at the Ulpan for your Hebrew proficiency assessment.
*
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