FORM NO.

10BE
[See rule 18AB]
Certificate of donation under clause (ix) of sub-section (5) of section 80G and
under clause (ii) to sub-section (1A) of section 35 of the Income-tax Act, 1961

ARN of form 10BE AAFTM9902L05241000023

Donee (1) PAN of the the reporting person AAFTM9902L

(2) Name of the reporting person MADHWARAJ ANIMAL CARE TRUST

(3) Address of the reporting person SWAGATHAM,MALPE MADHWARAJ

ROAD,UDUPI,Udupi,Malpe S.O,Karnataka,INDIA-576108

(4) Unique Registration Number AAFTM9902LF20219

(5) Date of issue of Unique Registration Number 24-Sep-2021

Donor and donations (6) Unique Identification Number

(a) ID Code Permanent Account Number

(b) Unique Identification Number APCPP7580B

(7) Name of Donor Rahul Pandey

(8) Address of Donor Village Harikhora, Post Office Pakdidubey, Tehsil

Baansgaon, Harikhora, Gorakhpur, Uttar Pradesh - 273413

(9) Amount of donation Received ₹ 200,000

(10)Financial year in which such donation 2023-24

was received

(11)Type of donation Others

(12)Section under which donation is eligible Section 80G

for deduction

This 10BE Certificate has been generated through Form 10BD filed by MADHWARAJ ANIMAL CARE TRUST vide 380555690310524 (10BD ARN) on 31 May
2024

Verification
I ,BABITA RAJ daugther of MALPE MADHWARAJ solemnly declare that to the best of my knowledge and belief, the information given in the certificate is

correct and complete and is in accordance with the provisions of the Income-tax Act, 1961. I further declare that I am making this certificate in my capacity as

MANAGING TRUSTEE and I am also competent to issue this certificate. I am holding permanent account number ACFPN0361A