Page 1 of 2 M-76543125-1

157813/76543125-1/1-2/RESGB/06-06
Your Base Branch : NOIDA SECTOR 12
BRANCH, C 2AND3 BLOCK Y 348, SECTOR-12
201301
MR.ADITYA NARAYAN SHUKLA
B-7/1,GOKUL VIHAR,ROHTA ROAD,
NEAR GOKUL VIHAR GATE : Visit www.icicibank.com
MEERUT Å Dial your Bank 1860 120 7777
UTTAR PRADESH - INDIA - 250001

Never share your OTP, URN, CVV or passwords with anyone, even if the person claims to be a Bank employee.

STATEMENT SUMMARY for Customer ID : XXXXX0477 as on March 31, 2022

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX4520 47.37 0.00 47.37 Not Registered

TOTAL 47.37 0.00 47.37

Statement of Transactions in Savings Account XXXXXXXX4520 in INR for the period March 01, 2022 - March 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-03-2022 B/F 1.00
MMT/IMPS/206215578313/MOBLT0303152232/Neelu Tiwa/State
03-03-2022 MOBILE BANKING 57,000.00 57,001.00
Bank of I
03-03-2022 NET BANKING INF/INFT/20220303190150/Pay Later expen/Self 2,047.84 54,953.16
03-03-2022 NET BANKING BIL/000341472407/ICICI BANK CREDIT CA/437551593368 23,488.46 31,464.70
03-03-2022 BIL/RCHG/000341477987/Airtel-UP /9565664382 155.00 31,309.70
03-03-2022 OTHER ATMS NFS/BPCN1998/CASH WDL/03-03-22 1,000.00 30,309.70
UPI/206370990730/JIO20BR0007DXJ3/jio@yesbank//ICI1d80a35
04-03-2022 149.00 30,160.70
2a3ea45868a0dd8256a713127/
05-03-2022 BANK CHARGES Drcard Reissue Charges +GST 235.51 29,925.19
UPI/206514103517/dhaan/DUMMY NAME/Bank of
07-03-2022 8,118.00 21,807.19
Baroda/ICIb2ebe1607e5c410a933ba21cdcff9c07/
NEFT-010334071654-N R SWITCH N RADIO SERVICES
07-03-2022 40,000.00 61,807.19
PVTLTD-EIPL SAL-510101007144484-UBIN0989266
UPI/206820381473/UPI/aadin1004@oksbi/State Bank Of
09-03-2022 3,000.00 64,807.19
I/SBI70e55d25278a448caedc6fca31d8c2ca
09-03-2022 OTHER ATMS NFS/BPCN1998/CASH WDL/09-03-22 5,000.00 59,807.19
UPI/206816995545/UPI/shilutiwari1995/ICICI
09-03-2022 400.00 59,407.19
Bank/ICI0ec75b4666c743cf91231841d693f92c/
10-03-2022 DEBIT CARD VPS/AKASH GANGA/202203101805/206912186713/Meerut 20,000.00 39,407.19
10-03-2022 LAMRTXX58394 MAR22 Aditya Nara 10,564.00 28,843.19
10-03-2022 DEBIT CARD VPS/MULTANI JUS/202203101305/206907689592/MEERUT 135.00 28,708.19
10-03-2022 DEBIT CARD VPS/NUMERO UNO /202203101321/206907521104/MEERUT 1,070.00 27,638.19
UPI/206915862933/JIO20TB00001H4G/jio@citibank/Citibank/ICI2
10-03-2022 470.82 27,167.37
7182ada0b8d42c5b932b1aab17dbb82/
10-03-2022 MOBILE BANKING MMT/IMPS/206920709692/NA/Neelu Tiwa/SBIN0001118 10,000.00 17,167.37
14-03-2022 BIL/ONL/000349095397/National Z/111440672689-10/zoo 720.00 16,447.37
14-03-2022 MOBILE BANKING MMT/IMPS/207115597059/NA/Neelu Tiwa/SBIN0001118 2,000.00 14,447.37
14-03-2022 DEBIT CARD VPS/GODWIN OIL /202203121840/207113616635/MEERUT 1,000.00 13,447.37
15-03-2022 MOBILE BANKING MMT/IMPS/207414985285/NA/Neelu Tiwa/SBIN0001118 10,000.00 3,447.37
UPI/207592820980/UPI/shilutiwari1995/ICICI
16-03-2022 395.00 3,842.37
Bank/ICI59fd26fea3504f8c82b6d61fdf49f491
16-03-2022 OTHER ATMS NFS/BPCN1998/CASH WDL/16-03-22 500.00 3,342.37
19-03-2022 MOBILE BANKING MMT/IMPS/207817366054/NA/Neelu Tiwa/SBIN0001118 500.00 2,842.37
UPI/207896063102/UPI/q41300440@ybl/Indian
19-03-2022 70.00 2,772.37
Overseas/ICIace2bf00c7dc4302a30b7aa3189ae78b/
UPI/208023594709/UPI/q576387407@ybl/State Bank
21-03-2022 800.00 1,972.37
OfI/ICI53cb295b0556427c8bd11d3503885b7a/
UPI/208027851216/UPI/paytmqr28100505/Paytm Payments
21-03-2022 70.00 1,902.37
/ICI5e541480ff494855bc6753d3b694aa39/
UPI/208119883671/UPI/aadin1004@oksbi/State Bank Of
22-03-2022 3,000.00 4,902.37
I/SBIa184483b84574df3ad25e21dbced29c5
22-03-2022 BIL/ONL/000356088143/Jeevansath/111449605465-10 2,805.00 2,097.37
22-03-2022 OTHER ATMS NFS/BPCN1998/CASH WDL/22-03-22 500.00 1,597.37
Total: 1,03,395.00 1,01,798.63 1,597.37
 Page 2 of 2 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX4520 in INR for the period March 01, 2022 - March 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

28-03-2022 OTHER ATMS NFS/B1031800/CASH WDL/26-03-22 500.00 1,097.37
28-03-2022 MOBILE BANKING MMT/IMPS/208619417971/NA/Neelu Tiwa/SBIN0001118 1,000.00 97.37
30-03-2022 157801524520:Int.Pd:31-12-2021 to 29-03-2022 50.00 147.37
31-03-2022 MOBILE BANKING MMT/IMPS/209011508469/NA/Neelu Tiwa/SBIN0001118 100.00 47.37
Total: 50.00 1,600.00 47.37

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings XXXXXXXX4520 110229128 ICIC0001578 -

* Nominee name is displayed only on specific consent of customer.

Sincerely, Legends for transactions in your account statement

VAT/MAT/NFS- Cash Withdrawal at other bank's ATM INF - Internet funds transfer in linked accounts
EBA-Transaction at ICICIDirect BIL - Internet bill payment or funds transfer to third party
ICICI Bank Limited VPS/IPS-Debit card transaction TOP - Mobile Recharge
RTGS-Real Time Gross Settlement (Instant transfer above Rs 2 Lakh) NEFT - National Electronic Fund Transfer

This is a system-generated statement. Hence, it does not require any signature.

You can now download the account statement using the iMobile Pay app and Internet Banking.

l There is a revision in the service charge for domestic Savings Accounts w.e.f. Feb 01, 2022.
For details, please visit https://www.icicibank.com/notice-board.page
l There is a change in the terms and conditions for Salary Accounts. For detailed terms and
conditions, visit www.icicibank.com/managed-assets/docs/terms-condition/tnc-savings-account.pdf
(Clause XV).
l Bank’s Code of Commitment to Customers and Micro and Small Enterprises (MSE): Please
visit www.icicibank.com > About Us > Notice Board > Code of Commitment. The code
has been framed in line with the guidelines provided by Banking Codes and Standards
Board of India (BCSBI).
l As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be
generated through the Income tax website for which the PAN of the customer needs to be
necessarily updated in Bank's record.
l Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation
(DICGC) up to a maximum of Rs. 5 lakh, for both principal and interest amount held by him
in the same right and same capacity.
Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex, Mumbai - 400051, India.
Registered Office: ICICI Bank Tower, Near Chakli Circle, Old Padra Road, Vadodara, Gujarat. Pin – 390 007.
This is an authenticated intimation/statement.
Customers are requested to immediately notify the Bank, in case of any error in the statement.
l Do not fall prey to fictitious offers of winning prizes, money circulation schemes and cheap
funds, etc. through SMS, e-mails and calls.
l As per the prevailing guidelines of the Income Tax Act, 1961, if a valid PAN is not provided by
the customer, then the Form 15G/15H shall not be treated as valid and tax shall be deducted at
the prevailing rate or at 20%, whichever is higher. PAN can be updated online or at the nearest
branch.
l The address of the customer in Form 16A will be the last updated address in the data base of the
income tax department.
l PMJJBY Insurance: The insurance premium is collected on behalf of ICICI Prudential Life
Insurance Company Limited plus administration charges collected by ICICI Bank (including GST),
in line with extant laws. Effective Sep 01, 2018, a premium is charged on a pro rata basis for all
new enrolments in the scheme. It is noteworthy that the renewal premium for all existing
customers shall be charged for a period of one year (i.e. Rs 330) on May 25 - May 31 every year.
For details on the premium structure, refer to the Terms & Conditions under the Pradhan Mantri
Social Security Schemes at www.icicibank.com.
www.icicibank.com
Category of service: Banking & Financial Services.
Registration No. MIV/ST/Bank & Finc/4.
CIN : L65190GJ1994PLC021012
SR201850771