www.americanexpress.co.

in

American Express Banking Corp.

Statement of Account Page 1 of 4 Cyber City
Tower C,DLF Bldg No. 8
Prepared for Membership Number Date Sector - 25, DLF City Ph II
SAUGATO MONDAL XXXX-XXXXXX-61007 28/09/19 Gurgaon - 122002

Opening Balance Rs New Credits Rs New Debits Rs Closing Balance Rs Minimum Payment Rs
For any statement enquiries
Please call us on:
+91-124-280 1122
54,354.19 - 54,922.15 + 48,209.53 = 47,641.57 2,383.00 (Toll Free):
1800 419 2122
Minimum Payment Due
Statement includes payments and charges received by September 28, 2019 October 16, 2019
Making only the minimum payment every month would result in the repayment stretching over years with consequent interest payment on your outstanding balance. For
more details on this refer to the Most Important Terms & Conditions (MITC).

Thank you for using the American Express Card. We would appreciate receiving your payment of Rs. 2,383.00 by
16/10/2019. In case of cheque payments, you are advised to drop them at least 4 working days prior to the payment
due date to ensure timely credit to your Card Account and avoid levy of penal charges.

Statement Period From August 29 to September 28, 2019

Credit Summary Credit Limit Rs Available Credit Limit Rs

At September 28, 2019 105,000.00 57,358.43

Current Rates of Interest Monthly Rate Goods And Services 3.50 %

Monthly Rate Cash Transactions 3.50 %
Monthly Rate Balance Transfer 3.50 %

Details Foreign Spending Amount Rs

September 13 PAYMENT RECEIVED. THANK YOU 46,225.00

Card Number XXXX-XXXXXX-61007 CR
August 31 PAYTM.COM WALLET PG NOIDA 593.00
September 1 PAYTM.COM WALLET PG NOIDA 555.00
September 1 CAR-FIL KOLKATA 1,000.00
September 1 CONVENIENCE FEE-FUEL PURCHASE 10.00
September 1 GST/IGST @18% ON FUEL CONVENIENCE FEE 1.80
September 1 0.75% FUEL CASHBACK GURGAON 7.50
CR
September 2 PAYTM.COM WALLET PG NOIDA 500.00
September 2 PAYTM.COM WALLET PG NOIDA 500.00
September 2 PAYTM RETAIL -PG-ONLINE NOIDA 199.00
September 3 PAYTM RETAIL -PG-ONLINE NOIDA 10.00
CR

..........
Please return this advice
Payment Advice with your payment.

Make a crossed cheque payable to "AEBCCard # Minimum Payment: Rs 2,383.00 Please do not send
enter your 15-digit Card number beginningwith 37>." Due by October 16, 2019 postdated cheques.

Enter amount enclosed Rs

SAUGATO MONDAL
POWERSYSTEM OPERATION CORPORATION
Send payment to:
14 GOLF CLUB ROAD TOLLYGUNGE
NEAR RCGC AMERICAN EXPRESSBANKING CORP.
KOLKATA WBE 700033 CYBER CITY, TOWER C, DLF BLDG NO.8
SECTOR-25,DLF CITY PH II
GURGAON - 122002

Incorporated with limited liability in the USA

Statement of Account Page 2 of 4
Prepared for Membership Number Date
SAUGATO MONDAL XXXX-XXXXXX-61007 28/09/19

Details Foreign Spending Amount Rs

September 3 PAYTM RETAIL -PG-ONLINE NOIDA 10.00

September 4 PAYTM.COM WALLET PG NOIDA 477.00
September 5 MORE KOLKATA 2,543.47
September 7 PRIYA GOPAL BISHOYI KOLKATA 8,305.00
September 13 PAY U- SWIGGY PG GURGAON 1,190.00
September 15 PAYTM.COM WALLET PG NOIDA 569.00
September 16 PAYTM RETAIL -PG-ONLINE NOIDA 2,357.00
September 18 tp*Phonepe Merchant South Delhi 14,190.75
September 18 tp*Phonepe Merchant South Delhi 6,380.35
September 22 PAYTM.COM WALLET PG NOIDA 7,816.36
September 25 ANDERSON AUTO SERVICE KOLKATA 1,000.00
September 25 CONVENIENCE FEE-FUEL PURCHASE 10.00
September 25 GST/IGST @18% ON FUEL CONVENIENCE FEE 1.80
New domestic transactions for SAUGATO MONDAL 48,192.03
OTHER ACCOUNT TRANSACTIONS
August 18 LATE PAYMENT FEE REVERSED 1,000.00
CR
August 28 CREDIT FOR FINANCE CHARGES 480.27
CR
August 28 CREDIT FOR FINANCE CHARGES 681.80
CR
August 28 CREDIT FOR FINANCE CHARGES 180.00
CR
September 13 MEMBERSHIP FEE REVERSED 5,000.00
CR

Payment Information - Payment for minimum due must be received, in Indian Rupees, by the due date. Please make your crossed cheque/draft
payable to AEBC Card No. 3769 xxxxxx xxxxx.
Payment Methods - You can pay by any of these convenient methods. By Mail - Please send a crossed cheque/draft with this payment advice
to the address shown overleaf or courier your payment to American Express Banking Corp., Cyber City, Tower C, DLF Bldg No. 8, Sector - 25,
DLF City Ph II, Gurgaon - 122002.
Drop Boxes - For locations, please call Membership Services; By Direct Debit - Pay by direct transfer from your bank account.
Permanent Account Number (PAN) - AAGCA9055N
GSTIN - 06AAGCA9055N1Z8
Category: Credit-granting services including stand-by commitment, guarantees & securities (SAC - 997113)
Due to system limitation, GST/IGST is being charged at consolidated amount @18%. Where the place of supply is in Haryana GST comprises of
Central Goods and Services Tax (CGST) @9% + Haryana State Goods and Services Tax (SGST) @9%; where the place of supply is outside of
Haryana GST comprises of Integrated Goods and Services Tax (IGST) @18%.
Mailing Preference - If you do not wish to be contacted for promotional or marketing offers, or wish to change the address or phone number
on your account, please call our Membership Services helplines.
Total amount of Foreign Currency charges shown include the Currency Conversion Factor Assessment of 3.5% plus applicable GST.
Statement of Account Page 3 of 4
Prepared for Membership Number Date
SAUGATO MONDAL XXXX-XXXXXX-61007 28/09/19

Details Foreign Spending Amount Rs

September 14 GST/IGST@18% REVERSED 86.45

CR
September 14 GST/IGST@18% REVERSED 122.72
CR
September 14 GST/IGST@18% REVERSED 180.00
CR
September 14 GST/IGST@18% REVERSED 32.40
CR
September 14 GST/IGST@18% REVERSED 900.00
CR
September 14 GST/IGST@18% REVERSED 2.18
CR
September 14 GST/IGST@18% REVERSED 0.09
CR
September 14 GST/IGST@18% REVERSED 0.14
CR
September 14 GST/IGST@18% REVERSED 0.03
CR
September 14 FINANCE CHARGES REVERSED 13.57
CR
Total of other account transactions 8,679.65
CR
Statement of Account Page 4 of 4
Prepared for Membership Number Date
SAUGATO MONDAL XXXX-XXXXXX-61007 28/09/19

Membership Rewards Statement Rewards Number

General Tier 3560-4224-1113
Account Summary from 27/8/2019 to 25/09/2019
Previous
Points Balance Points Earned Bonus Points Points Adjustments Points Redeemed New Points Balance

21,784 512 0 - 10,000 0 12,296

Points Earned Card Type Card Number No. of Points

Platinum Travel Credit Ca XXXXXXXXXX61007 512
Total Points Earned 512

Points Adjustments Date Description No. of Points

13 /09 /2019 Debit Award Order Points Adjustment -10,000
Total Points Adjustments - 10,000

Cardmember Offers and Information

Grievances Redressal Escalation:
In the event that you are not satisfied with our services, you may register your grievance to:
First Level Escalation: Ms. Shilpi Rehani / Ms. Pooja Dubey, Manager Executive Correspondence Unit
0124-3362044 and 0124-3362172 /E-mail: Manager-Customerservicesindia@aexp.com

Second Level Escalation: Mr. Vikas Sachdeva, Head of Operations E-mail: Head-Customerservicesindia@aexp.com

Please Note: Printed copies of the Most Important Terms and Conditions and the Cardmember Agreement will no longer be sent
along with monthly statements or card welcome, replacement, renewal pack(s). You can view & download these documents from
the official webpage americanexpress.co.in/mitc or call on the number on the back of the card post approval, to request for hard
copies of the same.