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049911/76543125-1/1-2/RESGB/08-17
Your Base Branch : BADDI BRANCH, ICICI BANK
LTD., SS COMPLEX, NH 21, BADDI - NALAGARH
ROAD, DIST: SOLAN, 173205
MR.PAWAN KUMAR
45 VILL KAKRED TEHSIL-JHANDUTTA
DISTT BILASPUR HP 174017 : Visit www.icicibank.com
BILASPUR Å Dial your Bank 1860 120 7777
HIMACHAL PRADESH - INDIA - 174017

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 : XXXXX7246 as on July 31, 2022

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX3219 1,579.84 0.00 1,579.84 Registered

TOTAL 1,579.84 0.00 1,579.84

Statement of Transactions in Savings Account XXXXXXXX3219 in INR for the period July 01, 2022 - July 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-07-2022 B/F 1,004.84
UPI/218312103901/UPI/tp962230@oksbi/Punjab
02-07-2022 2,000.00 3,004.84
National/SBIdaa8bc32add1493391e47678fa6b4756
02-07-2022 OTHER ATMS NFS/50016015/CASH WDL/02-07-22 2,000.00 1,004.84
NEFT-SBIN522186634404-KEJRIWAL BEE CARE INDIA
05-07-2022 5,113.00 6,117.84
PVTLTD-/ATTN//INB-00000030907270929-SBIN0004266
UPI/218749519415/UPI/g.8219278503-2@/Punjab
06-07-2022 4,000.00 10,117.84
National/AXIea5c0fcf146146b68a0defca056b5c6c
06-07-2022 OTHER ATMS NFS/50016015/CASH WDL/06-07-22 8,000.00 2,117.84
UPI/218802397957/UPI/euronetgpay.pay/ICICI
07-07-2022 239.00 1,878.84
Bank/ICI6b7e43f126684b2aae6f752248cfedea/
11-07-2022 OTHER ATMS NFS/50016015/CASH WDL/11-07-22 1,000.00 878.84
UPI/219382668500/UPI/kamalkbc24@okax/Axis Bank
12-07-2022 10,000.00 10,878.84
Ltd./AXIf3cdc87f32b445ed9639b2e0ee35a99c
UPI/219488525925/UPI/azadsaab2959@ok/Punjab
13-07-2022 10,000.00 878.84
National/ICI0774bd7da9ea48f7a2adcc8c636f6b7d/
UPI/219592472689/UPI/euronetgpay.pay/ICICI
14-07-2022 299.00 579.84
Bank/ICIff955249f60a44d79935e69a648a5e58/
UPI/219776078332/UPI/g.8219278503-2@/Punjab
16-07-2022 1,000.00 1,579.84
National/AXIe598b3408e0e4015b37ac59816f1104d
16-07-2022 OTHER ATMS NFS/50016018/CASH WDL/16-07-22 1,000.00 579.84
19-07-2022 OTHER ATMS NFS/S1GJ0641/CASH WDL/19-07-22 500.00 79.84
UPI/220211510593/UPI/abhi4546p-1@oks/State Bank Of
21-07-2022 1,000.00 1,079.84
I/SBI56f8dab574e645a1916f4ed1cb8a8b10
21-07-2022 OTHER ATMS NFS/50016015/CASH WDL/21-07-22 1,000.00 79.84
UPI/220437206338/UPI/ashokkumarblp19/Axis Bank
25-07-2022 1,500.00 1,579.84
Ltd./AXI888d842941d240848f18f42efa79c93b
UPI/220699235985/UPI/tp962230@oksbi/Punjab
25-07-2022 2,000.00 3,579.84
National/SBIce1b829e3e7642d18e2302ed8cd4b002
26-07-2022 OTHER ATMS NFS/D6057500/CASH WDL/26-07-22 2,000.00 1,579.84
Total: 26,613.00 26,038.00 1,579.84

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings XXXXXXXX3219 160229009 ICIC0000499 -

* 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.
Page 2 of 2 M-76543125-1
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