Super50 Application Form Print Super50 Form Application For Course Medical * Select Photo Note: upload photo size should be less than 200kb. Exam Centre First Choice Dehradun Kotdwar Haridwar Vikasnagar Haldwani Srinagar Uttarkashi * Select Exam Centre Second Choice Dehradun Kotdwar Haridwar Vikasnagar Haldwani Srinagar Uttarkashi * The Form is to filled in Block Letters : * * Annual Income 1 to 2 Lac 2 to 5 Lac 5 to 8 Lac 8 to 10 Lac 10 Lac & Above * Select Category General SC ST OBC Others * Select Sub Category Physically Handicapped Defense Ward Survivor Of Freedom Fighter None * * * * * * * Select Gender Male Female * Name of the School (from where appeared / appearing for class XII): * Percentage Of Marks Obtained in Class X : Percentage Of Marks Obtained in Class XII : Fees Details: : Upload documents: Student Signature Parent's Signature DD in favour of "Baluni Classes" payable at Dehradun I hereby declare that the information furnished by me are correct and true to the best of my knowledge and belief and nothing has been concealed. In the event of any information found incorrect or misleading, my candidature shall be liable to cancellation by Baluni Classes at any time.
