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 April 30, 2022

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX4520 1,514.95 0.00 1,514.95 Not Registered

TOTAL 1,514.95 0.00 1,514.95

Statement of Transactions in Savings Account XXXXXXXX4520 in INR for the period April 01, 2022 - April 30, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-04-2022 B/F 47.37
UPI/209312910422/NA/walletmoneytoba/Paytm Payments
04-04-2022 1,000.00 1,047.37
/PTMd837f4947698464785b1d6d1af082a46
04-04-2022 ICICI ATM ATM/SPCNM896/CASH WDL/03-04-22 1,000.00 47.37
04-04-2022 BIL/RCHG/000365562771/Jio - Hary/8750123909 20.00 27.37
UPI/209519227454/UPI/aadin1004@oksbi/State Bank Of
05-04-2022 3,000.00 3,027.37
I/SBI619bfb7fe80446e68740026c1a48958b
UPI/209519265359/UPI/aadin1004@oksbi/State Bank Of
05-04-2022 5,000.00 8,027.37
I/SBIfca6776b0c354b2d9898a01ad962caf9
UPI/209519307675/UPI/aadin1004@oksbi/State Bank Of
05-04-2022 25,000.00 33,027.37
I/SBI38c761dbcfa64691bb7713066fae1122
UPI/209519295521/UPI/aadin1004@oksbi/State Bank Of
05-04-2022 1,000.00 34,027.37
I/SBIa6ea87b4cd1a4fb0ba796fa5a2ef5d86
06-04-2022 NET BANKING BIL/000368318515/ICICI BANK CREDIT CA/437551593368 15,000.00 19,027.37
06-04-2022 NET BANKING INF/INFT/20220406102440/Pay Later expen/Self 1,937.45 17,089.92
UPI/209604955909/You are paying/amazonpay@apl/Axis Bank
06-04-2022 595.00 16,494.92
Ltd./APL17f759a0084d448da9c376d5819d8a89/
06-04-2022 ICICI ATM ATM/SPCNM896/CASH WDL/06-04-22 1,000.00 15,494.92
07-04-2022 ECSRTNCHGS050422_SR821627376 590.00 14,904.92
NEFT-010343623710-N R SWITCH N RADIO SERVICES
07-04-2022 40,000.00 54,904.92
PVTLTD-EIPL SAL-510101007144484-UBIN0989266
UPI/209724395194/EarlySalary/earlysalary.raz/AxisBank
07-04-2022 3,294.00 51,610.92
Ltd./ICId011f23069994797b648c185ab9e3efe/
NEFT-KKBK220974897133-BEEJAPURI DAIRY PVT
07-04-2022 1,248.00 52,858.92
LTD--1012347824-KKBK0000958
07-04-2022 ICICI ATM ATM/SPCNM896/CASH WDL/07-04-22 15,000.00 37,858.92
07-04-2022 ICICI ATM ATM/SPCNM896/CASH WDL/07-04-22 20,000.00 17,858.92
UPI/209807647216/You are paying/amazonupi@apl/Axis Bank
08-04-2022 749.00 17,109.92
Ltd./APL977df5972a7847799532a1b52de8d95d/
08-04-2022 ICICI ATM ATM/SPCNM896/CASH WDL/08-04-22 1,000.00 16,109.92
11-04-2022 ICICI ATM ATM/SPCNM896/CASH WDL/09-04-22 500.00 15,609.92
11-04-2022 LAMRTXX58394 APR22 Aditya Nara 10,564.00 5,045.92
11-04-2022 OTHER ATMS NFS/63864133/CASH WDL/10-04-22 500.00 4,545.92
UPI/210092635924/JIO20TB00001K77/jio@citibank/Citibank/ICI5
11-04-2022 470.82 4,075.10
eb48ded47864147b628fefbfaf345b5/
12-04-2022 DEBIT CARD VPS/NARESH GARG/202204121056/210205029064/GURGAON 500.00 3,575.10
UPI/210375739993/UPI/rekharakeshtiwa/State Bank Of
13-04-2022 3,000.00 575.10
I/ICIf3f209ff84ad4588a7c01d48c0178af4/
UPI/210319342074/UPI/aadin1004@oksbi/State Bank Of
13-04-2022 500.00 1,075.10
I/SBI540fd77aa556420199d7a7c0287a97bd
13-04-2022 ICICI ATM ATM/SPCNM896/CASH WDL/13-04-22 500.00 575.10
UPI/210576162923/UPI/otipygokwik@yes/Yes Bank
15-04-2022 145.00 430.10
Ltd/ICI66094c332ba348c6a24d1ec912807655/
UPI/210610990990/NA/walletmoneytoba/Paytm Payments
16-04-2022 1,000.00 1,430.10
/PTM890ebde322f64598a6a1230ef865715d
Total: 77,748.00 76,365.27 1,430.10
 Page 2 of 2 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX4520 in INR for the period April 01, 2022 - April 30, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/210611691378/Oid100003339975/paytm-651536@pa/Paytm
16-04-2022 437.15 992.95
Payments /PTM20220416305979109704202204161105
UPI/210611198020/UPI/rekharakeshtiwa/State Bank Of
16-04-2022 3,000.00 3,992.95
I/SBI4825a9e643e6400cb22126cec9d476bd
16-04-2022 OTHER ATMS NFS/63864133/CASH WDL/16-04-22 500.00 3,492.95
18-04-2022 ICICI ATM ATM/SPCNM896/CASH WDL/17-04-22 500.00 2,992.95
UPI/210827799700/UPI/otipy.gokwik@ic/ICICI
18-04-2022 122.00 2,870.95
Bank/ICI972de42b5ed94774b3c509f166e9b4ba/
UPI/210935480156/UPI/grofersindia@ic/ICICI
19-04-2022 222.00 2,648.95
Bank/eulg6x8MY5WopFWjfWy/
19-04-2022 ICICI ATM ATM/SPCNM896/CASH WDL/19-04-22 500.00 2,148.95
UPI/211233653495/UPI/otipygokwik@yes/Yes Bank
22-04-2022 152.00 1,996.95
Ltd/ICI2610958e85bb4e90a4a00912ee50f5d0/
22-04-2022 ICICI ATM ATM/SPCNM896/CASH WDL/22-04-22 500.00 1,496.95
UPI/211451096789/UPI/aadin1004@oksbi/State Bank Of
25-04-2022 500.00 996.95
I/ICIb80fe38cce2e4547932c58eee66e7f40/
UPI/211903390865/UPI/aadin1004@oksbi/State Bank Of
29-04-2022 200.00 796.95
I/ICI3eabdedc7c9b4e48966ec99d4c4adbf1/
UPI/211943223892/UPI/goog-payment@ok/Axis Bank
29-04-2022 3.00 799.95
Ltd./AXIca58ffc1f0914ba5894c9fa41551de82
30-04-2022 NET BANKING VIN/APPLE COM/B/202204301919/212074406852/ 75.00 724.95
UPI/212021894912/UPI/rekharakeshtiwa/State Bank Of
30-04-2022 1,000.00 1,724.95
I/SBId5da461bc76b4c6791f2d1cc9e080db0
UPI/212008330676/Swiggy Order Id/swiggyupi@axisb/Axis Bank
30-04-2022 210.00 1,514.95
Ltd./AXISSDKV3f094153410e840e486cdccef18/
Total: 4,003.00 3,918.15 1,514.95

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