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45599087

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
Edelweiss Broking Ltd.

Edelweiss Broking Limited


Broking and Depository services offered by Edelweiss Broking Limited
SEBI Registration No.: INZ000005231 (Trading Member of NSE, BSE, MSEI, MCX and NCDEX)

Depository participant with CDSL and NSDL having SEBI Registration No. : IN-DP-656-2021

Corporate Identity Number : U65100GJ2008PLC077462

Registered Office : 2nd Floor, Office No. 201 to 203, Zodiac Plaza, Xavier College Road, Off C G Road, Ahmedabad-380009 Contact : 079 4001 9900 / 6662 9900

Corporate Office : Edelweiss House, Off C.S.T Road, Kalina, Mumbai - 400 098. Contact at 91-22-40094400

Website : www.edelweiss.in and Customer Care : 1800-102-3335

Name of the Compliance Officer : Mr. Pranav Tanna. Tel. (022) 42722200 / 40094279
Email ID : complianceofficer.ebl@edelweissfin.com / ebl.dpcompliance@edelweissfin.com

For any grievance please contact us at Investor Grievance No: 040-40316936/ 41151621.
or you may write into us at helpdesk@edelweiss.in for tradingrelated queries and DPservicesEBL@edelweiss.in for Demat related queries.

In case not satisfied with the response, please contact Depository or Exchanges on below numbers.

CDSL - email to complaints@cdslindia.com or call on (022) 22723333.


NSDL - email to relations@nsdl.co.in and call on (022) 2499 4200

NSE BSE MSE MCX NCDEX


Email ID ignse@nse.co.in is@bseindia.com investorcomplaints@msei.in grievance@mcxindia.com askus@ncdex.com
Phone No +91 22 26598190 +91 22 22728138 +91 22 61129000 , Ext. 9023 022-6731 8888 022-6640 6084

If not satisfied with response or your grievance is still unresolved you may register complaint to SEBI on the SCORES website (link: https://scores.gov.in/scores/Welcome.html)

ICONS FOR ILLUSTRATION

Signature of Client Guardian

W AS

Witness Authorised Signatory


Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 V01/Sep/2022
Edelweiss Broking Ltd.

Dear Customer,

We are happy that you have chosen us as your investment partner. We at Edelweiss aim at enhancing experience and simplifying processes for our customers. This
Account Opening Form is another step towards the very aim - making the process of entering a new financial relationship easier. We take pleasure and pride in
introducing this Account Opening form as one of the shortest and simplest in the industry. Now, opening a trading account with us takes a few minutes only,
leaving you more time to interact with our representative and clarify any doubts or queries that you may have. We also request you to go through the Terms and
Conditions booklet which will be appended with your KYC. This booklet covers the details of your relationship with us and helps you become an informed investor.

With this, we also urge you to write to us on - helpdesk@edelweiss.in for trading and on dpservicesebl@edelweiss.in for demat account issues,
queries or feedback. We will be glad to hear from you. Your trusted advisor always.

INDEX

MANDATORY SECTION IN KYC AS PRESCRIBED BY SEBI, DEPOSITORIES AND EXCHANGE

FOR EBL TRADING AND CDSL DEMAT ACCOUNT

Sr. No. Name of the Document Brief Significance of the Document Page No.
1. Account Opening Form - Trading & Document capturing the basic information about the constituent 1-10
Demat Account related details alongwith acceptance of KYC Document Booklet
2. Tariff Sheet – Demat Document detailing the Demat tariff/charges 11
Tariff Sheet – Elite Know Your Tariff Plan - Elite 12-13
3. Tariff Sheet – Equity & Commodity Document detailing the rate/amount of brokerage and other charges levied on the 13
client for trading on the stock exchange(s)
VOLUNTARY SECTION IN KYC
4. Demat Debit and Pledge Instruction Demat Debit and Pledge Instruction for Operating Trading and Demat Account 14-15
5. Voluntary Authorizations Consent for various authorisations 16
6. NERL/CCRL Account NERL/CCRL Account Details 17
7. SMS and E-mail alerts Request for SMS and E-mail alerts from Stock Exchange/s and Stock Brokers 18
8. SEBI MTF Consent SEBI Margin Trading Facility for Clients 19-23
9. MFSS Consent Consent letter for dealing in Mutual Funds on Exchange Platform ( BSE Star MF / MFSS) 24
10. Central KYC Registry Instructions / Check list / Guidelines for filling Individual KYC Application Form 25

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
V01/Sep/2022
Edelweiss Broking Ltd.

CENTRAL KYC REGISTRY | Know Your Customer (KYC) Application Form | Individual
Important Instructions: F) Please read section wise detailed guidelines / instructions
A) Fields marked with ‘*’ are mandatory fields. at the end.
B) Tick (3) wherever applicable. G) List if State / U.T. code as per Indian Motor Vehicle Act. 1988 is
C) Please fill the form in English and in BLOCK Letters. available at the end.
D) Please fill the dates in DD-MM-YYYY format. H) List of two character ISO 3166 country codes is available at the end.
E) For particular section update, please tick (3) in the box available I) KYC number of applicant is mandatory for update application.
before the section number and strike off the sections not required J) The ‘OTP based E-KYC’ check box is to be checked for accounts
to be updated. opened using OTP based E-KYC in non-face to face mode.

For office use only (To be filled by financial institution)


Application Type* ✔ New Update KYC Number 5 0 0 0 1 4 3 0 8 2 7 7 7 2 (Mandatory for KYC update request)
Account Type* ✔ Normal Minor Aadhar OTP based E-KYC (in non-face to face mode)
KRA Identifier: UCC Code allotted to the Client: 45599087 DP Internal Reference No.
DP Name NSDL/CDSL Beneficiary Name DP ID BO ID
EDELWEISS BROKING LIMITED VIGNESH SENTHILKUMAR
CDSL 12032300 13146971

✔ 1. PERSONAL DETAILS* (Please refer instruction A at the end)


Prefix First Name Middle Name Last Name
Name* (Same as ID proof) MR VIGNESH SENTHILKUMAR

Maiden Name
Father / Spouse Name* MR NA .

MRS MADHAMMAL .
Mother Name*
03-04-1995
Date of Birth* PAN No.* AVTPV9557B Form 60 furnished
Gender* ✔ M- Male F- Female T-Transgender
Marital Status * ✔ Single Married Current Nationality * ✔ Indian Other
Residential Status* ✔ Resident Individual Non Resident Indian Foreign National Person of Indian Origin
Occupation Type* ✔ S-Service ( ✔ Private Sector Public Sector Government Sector ) O-Others ( Professional
Self Employed Retired Housewife Students ) B-Business X- Not Categorised

✔ 2. PROOF OF IDENTITY AND ADDRESS* (Please refer instruction B at the end)


I Certified copy of OVD or equivalent e-document of OVD or OVD obtained through digital
KYC process needs to be submitted (any one of the following OVDs)
A - Passport Number B - Voter ID Card
C - Driving Licence
D - NREGA Job Card
E - National Population Register Letter
✔ F - Proof of Possession of Aadhar XXXXXXXX
II G - KYC Authentication XXXXXXXX III Other verification of Aadhar XXXXXXXX
Address
Line 1* 2 133 KALLUPALAIYAM MELKALLUPA LAIYAM POST MELKALLUPALAYAM
Line 2
Line 3 City / Town / Village* RASIPURAM
District* NAMAKKAL State TAMIL NADU Country INDIA
637403 TN IN
Pin / Post Code* State / U.T. Code* ISO 3166 Country Code*
✔ 3. CURRENT ADDRESS DETAILS (Please refer instruction B at the end)
✔ Same as above mentioned address (in such cases address details as below need not be privided)
I Certified copy of OVD equivalent e-document of OVD or OVD obtained through digital KYC process needs to be submitted (any one of the following OVDs
Digitally Signed by:
A - Passport
Name:Vignesh Number
Senthilkumar B - Voter ID Card
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 1
V01/Sep/2022
Edelweiss Broking Ltd.

C - Driving Licence
D - NREGA Job Card
E - National Population Register Letter
✔ XXXXXXXX
F - Proof of Possession of Aadhar II G - KYC Authentication XXXXXXXX
III Other verification of Aadhar XXXXXXXX IV Deemed Proof of Address - Document Type code
Address
Line 1* 2 133 KALLUPALAIYAM MELKALLUPA LAIYAM POST MELKALLUPALAYAM
Line 2
Line 3 City / Town / Village* RASIPURAM

District* NAMAKKAL State TAMIL NADU Country INDIA

Pin / Post Code* 637403 State / U.T. Code* TN ISO 3166 Country Code* IN

✔ 4. CONTACT DETAILS (All communications will be sent on provided Mobile number / Email-ID provided) (Please refer instruction C at the end)

Tel. (Off) Tel. (Res.) Mobile +91 9095589223

vignesh068790@gmail.com
Email ID

5. REMARKS (if any)

✔ 6. APPLICANT DECLARATION

• I hereby declare that the details fumished above are true and correct to the best of my
knowledge and belief and I undertake to inform you of any changes therein, immediately. In
case any of the above information is found to be false or untrue or misleading or
misrepresenting, I am aware that I may be held liable for it.
• I hereby consent to receiving information from Central KYC Registry through SMS/Email on
the above registered number / email address.
Signature /
Thumb Impression
28.7021985, 77.0848033
Geo Tagging
Place : RASIPURAM
Signature of Client 1

✔ 7. ATTESTATION / FOR OFFICE USE ONLY


Documents Received Certified Copies INSTITUTION DETAILS
E-KYC code received from UIDAI Name EDELWEISS BROKING LIMITED
Code I N 1 2 5 6
Date received from Offline verification
✔ Digital KYC Process (Institution Stamp)
Equivalent e-document
✔ Originals verified and Self attested / certified Document copies received
KYC Verification & Documents verified with
Details original carried out by Client Interviewed By In person Verification done by
Name of the Employee
Employee Code
Designation of the Employee
Date
Digitally Signed by:
Signature Senthilkumar
Name:Vignesh
IPV EXEMPTED - FULL KYC / DIGILOCKER IPV EXEMPTED - FULL KYC /
DIGILOCKER
IPV EXEMPTED - FULL KYC /
DIGILOCKER
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 2
V01/Sep/2022
Edelweiss Broking Ltd.

Type of Account - Sub Status


✔ Individual Resident Individual-Director Individual Director’s Relative Individual HUF / AOP Individual Promoter Minor
Individual Margin Trading A/C (MANTRA) Others (specify)
Education Qualification : q Under Graduate q✔ Graduate q Post Graduate q Professional

q NRI q NRI Repatriable q NRI Non-Repatriable


q NRI Repatriable Promoter q NRI Non-Repatriable Promoter
q NRI - Depository Receipts q Other Specify____________________
q Foreign National q Foreign National q Foreign National - Depository Receipts q Other Specify_____________
Details under FATCA and CRS (Please refer to instructions in small Booklet)
RASIPURAM
City of Birth ______________________________________ INDIA
Country of Birth ____________________________________
Residence address for tax purposes (include City, State, Country & Pin code)
2 133 KALLUPALAIYAM MELKALLUPA LAIYAM POST MELKALLUPALAYAM
______________________________________________________________________________________________
RASIPURAM NAMAKKAL TAMIL NADU INDIA 637403
______________________________________________________________________________________________
1. Tax residence declaration - tick any one, as applicable to you:
✔ I am a tax resident of India and not resident of any other country OR

I am tax resident of the country/ies mentioned in the table country


Please indicate ALL the countries in which you are a resident for tax purpose and the associated Tax ID Number below:
Country1 Tax Identification Number% Identification type (TIN or Other %, please specify)

*To also include USA, where the individual is a citizen / green card holder of USA
*In case Tax Identification Number is not available, kindly provide functional equivalent1

Other Details
Gross annual income range p.a. ✔ Below Rs. 1 Lac Rs. 1-5 Lac Rs. 5-10 Lac Rs. 10-25 Lac
OR Rs. 25 Lac -1 Crore 1 Crore-5 Crore < 5 Crore
Net-worth in Rs 200000.00
(Net worth should not be older than 1 year) as on D2 D
8 M 0 M 9 Y
2 Y
0 Y Y
2 2
Occupation ✔ Private Sector Service Public Sector Government Service Business
Agriculturist Retired Housewife Student
Professional Farmer Others (Please specify)
Please tick if applicable Politically Exposed Person (PEP) Related to a Politically Exposed Person (RPEP)
Not Politically Exposed Person (PEP) Not Related to a Politically Exposed Person (RPEP) ✔ None
Client Category (Only for Commodities Farmers/FPOs, Value Chain Participants (VCPs)
Derivative Market) Proprietary traders, Domestic Financial Institutional Investors
Foreign Participants Others
Whether registered under MSMED Act, 2006 Yes No (If Yes, please provide the MSME registration certificate)
Any other other information
• I wish to receive the standard account opening documents i.e :- Rights & Obligations (Stock Broker and Depository Participant) , Uniform Risk Disclosure
Documents and guidance note detailing Do’s and Dont’s in the below mentioned mode :- ✔ Electronic Physical
Additional Details
Whether you wish to receive physical contract note or Electronic Contract Note (ECN)/Statement of A/c please specify : Physical ✔ Electronic
Specify your Email Id, if applicable : vignesh068790@gmail.com Number of years of Investment / Trading experience : (strike off, if not applicable)

Whether you wish to avail of the facility of Internet Trading/Wireless Technology (please specify) : ✔ Yes No (strike off, if not applicable)
Any other
Digitally Signedinformation
by: :
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 3 V01/Sep/2022
Edelweiss Broking Ltd.

DP Account(s) Details In case, client does not have a DP Account, this column may not be filled in.

Depository Name: NSDL CDSL DP ID Depository Participant Name


Beneficiary Name Beneficiary ID (BO ID)

Past Actions
Details of any action taken / proceedings initiated / pending including but not limited to debarment / blacklisting / de-registering / name strike off from ROC
records / declaring defaulter / monetary penalty / adverse arbitration award by SEBI / Stock exchange / Government Authority / Statutory Authority / MCA or
any other authority against the applicant / constituent or its Partners / promoters / whole time directors / authorized persons in charge of dealing in
securities:
Yes ✔ No If yes, provide details:
Dealings Through Authorized Persons And Other Members
If the client is dealing through any other Member / Authorized Person (AP), provide the following details (incase dealing with multiple Members/APs, provide details
of all in a separate sheet containing all the information as mentioned below) :
Member’s / AP’s Name:
Exchange:
Exchange’s Registration number:
Concerned Member’s Name with whom the AP is registered:
Registered office address:
Pin Code:
Phone : Fax :
Email ID:________________________________________________ Website:_______________________________________
Client Code :
Details of disputes/dues pending from/to such Member/AP:______________________________________
Trading Preferences Please sign in the relevant boxes where you wish to trade. Please strike-off the segment not chosen by you
NSE BSE MSE
Cash F&O CDS Cash F&O CDS Cash F&O CDS
✔ ✔ ✔ ✔ ✔

For Trading in Commodity Derivatives


MCX NCDEX

✔ ✔

For Trading in Mutual Funds


NSE MFSS BSE MF Star Platform
✔ ✔

(Strike off, if not applicable)


“In future, if you wish to trade on any new segment / exchange, please submit a duly signed authorisation / letter to us.”
Please sign here if you are choosing all the segments :-

Signature of Client 2

Purpose of Trading q Hedging q Investment q Others (Specify) ______________________


GST Details
Digitally Signed by:
GST Registration
Name:Vignesh No. : ___________________________________ GST Location : _______________________________________
Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 4 V01/Sep/2022
Edelweiss Broking Ltd.

Introducer Details
Name of the Introducer :
(Surname) (Name) (Middle Name)
Status of the Introducer: Authorized Person Existing Client Others, please specify :______________________________
Address of the Introducer :

PAN No. Client Code


Tel. No.
I
Signature of the Introducer : ______________________________

Client Categorisation
Pls select (3) on the below appropriate category depending upon your proposed nature of your activity against each product type
Client Categorisation
Commercial Non Commercial
Product Type
Bullion Bullion
Base Metals Base Metals
Energy Energy
Agri-Commodities Agri-Commodities
Not Applicable Not Applicable

Note :- With a view to understand the extent of involvement of the physical market participants and to identify the nature of participants in the Commodities
Derivative Market, Members of the Exchange are required to Categorize the identified Clients under one of the following category:
1. COM: Commercial Client includes Value Chain/ Physical market participant/ exporter/ importer/ having direct/ indirect Exposure to the underlying Commodity
2. NON-COM: Non Commercial Client includes Trader/ Arbitrageur
3. N.A.: Not Applicable (Client not dealing in the product)
HIGH Value Transactions :-
I/We may undertake high value transaction of Rs.5 lakhs or more in a day depending on market volatility in any of the Exchange/s, where I/We am/are registered as
client with Edelweiss. Purposes of doing transaction are: (Please tick the option whichever is applicable.)
Trading / Speculation Arbitrage Hedging All of above

Dealing / Trading in Commodities


I/We wish to trade in the following commodities with the Exchanges**.
(tick (3) whichever is applicable)
** In future, if you wish to trade on any new commodity(ies) please submit a duly signed consent letter to us.
MCX Tick if NCDEX Tick if
Name of the Commodity Applicable Name of the Commodity Applicable
NCDEX FUTURE INDEX GOLD
BARLEY SILVER
CASTORSEEDNEW ALUMINIUM
CHANA BRASS
COTTONSEED OIL CAKE AKOLA COPPER
COTTON29MM LEAD
CRUDE_PALM_OIL NICKEL
CORIANDER ZINC
GUARGUM_5MT CRUDEOIL
GUAR_SEED10 NATURALGAS
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 5 V01/Sep/2022
Edelweiss Broking Ltd.

JEERA CARDAMOM
KAPASNEW CASTORSEED
MAIZEKHARIF COTTON
MAIZERABI MENTHAOIL
MOONG PEPPER
PADDY_BASMATI RBDPMOLEIN
RAPE_MUSTARD_SEEDS CPO
SUGARM RUBBER
SOYABEAN
SOY_OIL
TURMERIC
WHEATKOTA

For New Demat Account With Edelweiss Broking Limited


I request you to open a Demat Account in my name as per following details :
Sole / First Holders Name : VIGNESH SENTHILKUMAR
Pan No. : AVTPV9557B UID No. :

Details of Guardian (In case the account holder is minor)

Guardians Name
Relationship with Applicant
PAN

Bank Account(s) Details


Account Type ✔ Saving Current
Bank Name (throuh whish
transactions will be routed INDIAN BANK

Bank Account No. 6055266464

Branch Address NAMAKKAL

Pin
IFSC Code: IDIB000E014 MICR No.: 636019049 NEFT Code:

Bank Account(s) Details Optional


Account Type ✔ Saving Current
Bank Name (throuh whish
transactions will be routed PAYTM PAYMENTS BANK

Bank Account No. 919095589223

Branch Address NOIDA

Pin
IFSC Code: PYTM0123456 MICR No.: 000PBA000 NEFT Code:

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 6 V01/Sep/2022
Edelweiss Broking Ltd.

SMS Alert & Trust Facility

SMS Alert Faciliy MOBILE NO. +91______________________________


9095589223 ✔ Yes
Refer to Terms & Conditions (Mandatory, if you are giving Power of Attorney (POA) (if POA is not granted
given as annexure - 2.4 & you do not wish to avail of this facility, cancel this option. No
I wish to avail the TRUST facility using the Mobile number registered for SMS Alert Yes
Facility. I have read and understood the Terms and Conditions prescribed by CDSL
✔ No
for the same
Transactions Using Secured I/We wish to register the following clearing member IDs under my/our below
Texting Facility (TRUST). mentioned BO ID registered for TRUST
Refer to Terms and Stock Exchange Name/ID
Conditions as Annexure - 2.6
Clearing Member Name
Clearing Member ID (Optional)
To register for Easi, please visit our website www.cdslindia.com Easi allows a BO to ✔ Yes
Easi
view his ISIN balances, transactions and value of the portfolio online No

Option for issuance of Delivery Instruction Booklet (DIS Booklet)


Option for issuance of Delivery Instruction Slip (DIS) booklet alongwith account opening (to be filled by persons seeking to open depository account who have
given Power of Attorney / Demat Debit and Pledge Instruction to operate the depository account to a StockBroker / Portfolio Manager for executing delivery
instruction for setting stock exchange trades & do not intend to open a Basic Services Demat Account) Options for Issue of DIS booklet (please tick any one)
Option 1 I/We do not wish to receive the DIS booklet with account opening.
However, the DIS booklet should be issued to me/us on my/our request at any later date.

Option 1 ✔ We wish to receive the Delivery Instruction Slip (DIS) booklet with account opening.

Standing Instructions EBL


I/We instruct the DP to receive each and every credit in my / our account (Automatic Credit)
(If not marked, the default option would be 'Yes') ✔ Yes No

Account Statement Requirement ✔ As per SEBI Regulation Daily Weekly Fortnightly Monthly

vignesh068790@gmail.com ✔ Yes No
I/We request you to send Electronic Transaction-cum-Holding Statement at the email ID____________________

I/ We would like to share the email ID with the RTA ✔ Yes No

I / We would like to receive the Annual Report (Tick the applicable box. Physical ✔ Electronic
If not marked the default option would be in ‘Physical’) Both Physical & Electronic

I / We would like to instruct the DP to accept all the pledge instructions in my /our account without ✔ Yes No
any other further instruction from my/our end ( If not marked, the default option would be ‘No’)

Account to be opened through Power of Attorney (POA) Yes ✔ No

I/We wish to receive dividend / interest directly in to my bank account as given in SARAL AOF through ECS. (If not marked, ✔ Yes No
the default option would be 'Yes') [ECS is mandatory for locations notified by SEBI from time to time’.]

Clearing Member Details (To be filled by CMs only)


Name of Stock Exchange Name of CC / CH
Clearing Member Id Trading member ID
Whether DP a/c is to be opened with the same intermediary Yes No
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 7 V01/Sep/2022
Edelweiss Broking Ltd.

Declaration for Opening Trading and Depository Account Alongwith Acceptance of KYC Document Booklet.

By signing this document you confirm that you have read and understood the T&C, Rights and Obligations, Risk Disclosure, Policy and
General Information mentioned in the additional booklet. You also confirm that all information furnished by you in this form is true.

Declaration for Opening Trading (for Equity and / or Commodity) and Depository Account Alongwith Acceptance of KYC Document Booklet.

1. I am desirous of opening the trading(for Equity and / or Commodity) and /or depository account with Edelweiss Broking Limited and I am in the process of
executing client registration documents relating to the opening of trading and demat account.

2. I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I/we undertake to inform you of any changes
therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am are aware that I/we may be held
liable for it.

3. I have furnished all the details required in the KYC form as per SEBI/Exchange / Depository requirements.I have received the KYC booklet and confirm having
read/been explained and understood the contents of the KYC documents which are provided to me in this separate booklet.I also confirm having read/been
explained and understood the contents of the tariff sheet and all voluntary/non mandatory documents.

4. I/We have understood the information requirements of this Form (read along with the FATCA/CRS Instructions) and hereby confirm that the information
provided by me/us on this Form is true, correct, and complete. I/We also confirm that I/We have read and understood the FATCA CRS Terms and Conditionand
hereby accept the same.

5. I further confirm having read and understood the contents of the Rights and Obligations document(s), Risk Disclosure Document and Do’s and Dont’s. I do
hereby agree to be bound by such provisions as outlined in these documents. I have also been informed that the standard set of documents has been displayed
for Information on Member’s designated website, if any.

6. I am hereby submitting self-certified Aadhaar copy with my due consent for opening the above said account associated to my investment with Edelweiss.

7. I/We declare that the particulars given by me/us above are true and to the best of my/our knowledge as on the date of making this application. I/We agree and
undertake to intimate the Stock-Broker / Depository Participant of any change(s) in the details/particulars mentioned by me/us in this form. I/We further
account liable for termination and suitable action.

VIGNESH SENTHILKUMAR
Client Name :________________________________ 3

28-09-2022
Date :__________________________ Signature of Client

Office Use Only

I/We undertake that we have made the client aware of tariff sheet and all the voluntary/non-mandatory documents. I/We have also made the client aware of Rights
and Obligations document (s), RDD, Do’s and Dont’s and Guidance Note. I/We have given/sent him a copy of all the KYC documents.
I/We undertake that any change in the tariff sheet and all the voluntary/non-mandatory documents would be duly intimated to the clients. I/We also undertake that
any change in the Rights and Obligations and RDD would be made available on my/our website, if any, for the information of the clients.
For Edelweiss Broking Limited

Authorised Signatory
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 8 V01/Sep/2022
Edelweiss Broking Ltd.

NOMINATION FORM

Date 28-09-2022

UCC 45599087 DP ID 1203230013146971 Client ID 13146971

First Holder Name VIGNESH SENTHILKUMAR

Second Holder Name


Third Holder Name

I undersigned, wish to opt for the below one option provided by Edelweiss Broking Limited
I / We hereby confirm that I / We do not wish to appoint any nominee(s) in my / our trading / demat account and understand the
issues involved in non-appointment of nominee(s) and further are aware that in case of death of all the account holder(s), my / our
legal heirs would need to submit all the requisite documents / information for claiming of assets held in my / our trading / demat [ ✔ ]
account, which may also include documents issued by Court or other such competent authority, based on the value of assets held in
the trading / demat account.
I/We wish to make a nomination and do hereby nominate the following person(s) who shall receive all the assets held in my / our
[ ]
account in the event of my / our death.
Nomination can be made upto three nominees Details of 1st Nominee Details of 2nd Nominee Details of 3rd Nominee
in the account.
1 Name of the nominee(s) (Mr./Ms.)

Share of Equally % % %
2 each [If not equally,
nominee please specify percentage] Any odd lot after division shall be transferred to the first nominee mentioned in the form.

3 Relationship With the Applicant (if any)

Address of Nominee(s)

4 City / Place:
State & Country:

PIN Code

5 Mobile/Telephone No. (Optional)

6 Email ID (Optional)
Nominee Identification details Photograph & Signature Photograph & Signature Photograph & Signature
(Optional) – PAN PAN PAN
[Please tick any one of following and Aadhaar Aadhaar Aadhaar
provide details of same] Saving Bank account no. Saving Bank account no. Saving Bank account no.
Proof of Identity Proof of Identity Proof of Identity
Demat Account ID Demat Account ID Demat Account ID
7

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 9 V01/Sep/2022
Edelweiss Broking Ltd.

8 Date of Birth {in case of minor nominee(s)}

Name of Guardian (Mr./Ms.)


9
{in case of minor nominee(s) }
Address of Guardian(s)

10 City / Place:
State & Country:
PIN Code
11 Mobile/Telephone no. of Guardian (Optional)
12 Email ID of Guardian (Optional)
13 Relationship of Guardian with nominee
Guardian Identification details Photograph & Signature Photograph & Signature Photograph & Signature
(Optional) – PAN PAN PAN
[Please tick any one of following and Aadhaar Aadhaar Aadhaar
provide details of same] Saving Bank account no. Saving Bank account no. Saving Bank account no.
Proof of Identity Proof of Identity Proof of Identity
Demat Account ID Demat Account ID Demat Account ID
14

15 Signature of the Holder 4

* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of signature

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Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 10 V01/Sep/2022
Edelweiss Broking Ltd.

EDELWEISS BROKING LIMITED (EBL) DP ID – 12032300

DEPOSITORY CHARGES - SCHEDULE. ‘A’


Star Scheme Regular Scheme Regular Scheme
Particulars ✔
(POA) (POA) (Non POA)

1. Maintenance Charges Rs.1500/- one time No annual Free for 1st year. From 2nd year Free for 1st year. From 2nd year
maintenance charges. Additional onwards Rs.500/p.a. Additional onwards Rs.500/p.a. Additional
Rs. 500 will be charged annually Rs. 500 will be charged annually Rs. 500 will be charged annually
for Corporate accounts (Refer note for Corporate accounts (Refer note for Corporate accounts (Refer note
below). below). below).

2. Market/Off Market Transfers/Inter Depository

a) Purchase (Credit in) Nil Nil Nil

b) Market Sell Within Edelweiss 0.02% of the transaction value or 0.02% of the transaction value or 0.02% of the transaction value or
Rs.20/- per transaction, Rs.20/- per transaction, Rs.25/- per transaction,
whichever is higher whichever is higher whichever is higher

c) Off Market Transaction 0.03% of the transaction value or 0.03% of the transaction value or 0.03% of the transaction value or
Rs.20/- per transaction, Rs.20/- per transaction, Rs.20/- per transaction,
whichever is higher whichever is higher whichever is higher

d) Sell (Debit from) target other than 2 b) 0.03% of the transaction value or 0.03% of the transaction value or 0.03% of the transaction value or
and c above Rs.40/- per transaction, Rs.40/- per transaction, Rs.40/- per transaction,
whichever is higher whichever is higher whichever is higher

3. Pledge / Hypothecation

a) Creation / Acceptance / Closure 0.02% of the transaction value or 0.02% of the transaction value or 0.02% of the transaction value or
Rs.50/- per transaction, Rs.50/- per transaction, Rs.50/- per transaction,
whichever is higher whichever is higher whichever is higher

b) Invocation 0.02% of the transaction value or 0.02% of the transaction value or 0.02% of the transaction value or
Rs.25/- per transaction, Rs.25/- per transaction, Rs.25/- per transaction,
whichever is higher whichever is higher whichever is higher

4. Demat Charges Rs. 2.00 Per Certificate + Rs.30/- Rs. 2.00 Per Certificate + Rs.30/- Rs. 2.00 Per Certificate + Rs.30/-
for Postage for Postage for Postage

5. Remat Charges Rs.10/- per 100 securities or part Rs.10/- per 100 securities or part Rs.10/- per 100 securities or part
thereof (Subject to minimum Rs thereof (Subject to minimum Rs thereof (Subject to minimum Rs
10/-per request)+ Rs. 30/- for 10/-per request)+ Rs. 30/- for 10/-per request)+ Rs. 30/- for
Postage Postage Postage

6. Account Closing Nil Nil Nil

Signature of Client
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 11 V01/Sep/2022
Edelweiss Broking Ltd.

Know Your Tariff Plan

1. Brokerage Charges Edelweiss Elite ✔

EQ Delivery Rs.25 / 0.3% whichever higher


Rs.0.300%

EQ Intraday Rs.25 / 0.15% whichever higher


Rs.0.030%

EQ Futures* Rs.25 / 0.01% whichever higher


Rs.0.030%

EQ Options Rs.75 / lot


Rs.75.000/lot

CUR Futures Rs.25 / 0.01% whichever higher


Rs.0.020%

CUR Options Rs.15 / lot


Rs.20.000/lot

Mutual Funds 0

*Futures include: Stock Futures, Index Futures as well as Currency Futures, **On each leg

2. Categories Edelweiss Elite ✔

2.1 Manual Support


Call and Trade (Advisory, Trading) 0
RM / Advisor 0
Special Situation Trades Assistance 0

2.2 Tools & Features Edelweiss Elite ✔

Auto Collateral 0
Margin / Funding (Leverage) For FNO no charges if full stock margins maintained.
Shortfall charged at 0.03% to 0.05% day in
case margins not maintained.
Standard Tools (Watchlist, Screeners, Alerts etc.) 0
Advanced Charting 0
Market Info 0
Research* 0
News (Live, Details) 0
Content 0
Notifications (Whatsapp) 0
Portfolio Organizer 0
Guided Portfolios 0

2.3 Advanced Tools Edelweiss Elite ✔

Trade Point Chargeable


Smallcase As per brokerage
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 12 V01/Sep/2022
Edelweiss Broking Ltd.

2.4 Ancillary Charges Edelweiss Elite ✔

Switching Charges (Only 2 switches allowed) Rs.2500 (when switching to Lite)


DP AMC 1st Year Free / post Rs. 500 per annum
DP Fees (Trf Out / Sell) / Inter-settlement Fees 0.02% of Value or Rs.20 whichever is higher within Edelweiss OR
0.03% of Value or Rs.20 outside Edelweiss
Delayed Payment Interest (Normal) upto 30%
Delayed Payment Interest (MTF) upto 30%
Payin 0
Payout 0
Physical CML Request 0
Physical Contract Notes 0
Cheque payment 0
Pledge Charges 0
Physical Statement Charges (Ledger, PNL, Tax etc.) 0
Terms & Conditions:
• Brokerage rate of 0.5% for all clients on acceptance of shares that are tendered in any buyback offer
• In case Physical delivery is taken in derivatives segment above Delivery rate will be applicable.
• For users opting Edelweiss Elite Plan, a minimum brokerage per order of Rs 25 (subject to maximum of 2.5%) or maximum slab as per the regulatory
guidelines will be levied.
• Charges for Physical CML or Contract notes will only be levied in case additional notes are requested over and above already sent digital and physical
documents.Charges will not be levied if - (a) the default mode of delivery chosen by the user is physical (b) the mail with the statement soft copy has bounced
or (c) the statements are not available online for download. The user will only be charged if physical statements are requested over and above the standard
options available to him/her.
• Charges for research subscription are only levied if opting for an additional mode such as via sms, whatsapp or call; research recommendations available by
default on digital platforms be available for free
Tariff / Brokerage Sheet (Commodity)
TRADING 1ST LEG 2ND LEG
TYPE PERCENTAGE MINIMUM PERCENTAGE MINIMUM
INTRADAY % Ps % Ps
SETTLEMENT %
DELIVERY % Ps

Terms & Conditions:


a) In addition to the above mentioned brokerage all statutory/regulatory levies and other charges including but not limited to Exchange Transaction charges,
Commodity Transaction Tax, Warehouse charges, VAT, Stamp Duty (as applicable state wise), Service Tax, GST and any other charges which may be levied by
Exchange or any regulatory/ government authorities shall be charged/recovered from you separately over and above the brokerage rate as per current
applicable rate and if there is any revision in the rates, the same will be applicable. Any change in the statutory levies, if any, shall be reflected in the respective
contract note.
b) Delayed payment charges not exceeding 18%. on the debit balances if any, in client’s ledger account and not settled by the client within the stipulated time
frame.
c) Auction charges, penalties, fines levied by Exchange/s or any other regulatory authority for client limit violation/ short margin/client code
modification/delivery default or for any other violation/default as the case may be, will be charged on actual basis.
d) In the event of cheque bounce Rs 250/- per instance, will be debited.
I/We have understood and agreed the above terms & conditions related to the charges listed above being charged to me/us, as applicable
and agree to abide by the same.
Signature of First Holder 6
Digitally Signed by: VIGNESH SENTHILKUMAR
Client Name
Name:Vignesh :
Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 13 V01/Sep/2022
Edelweiss Broking Ltd.

DEMAT DEBIT AND PLEDGE INSTRUCTION


Schedule I (Details of Client/Principals)
Name of Client/First Holder VIGNESH SENTHILKUMAR
2 133 KALLUPALAIYAM MELKALLUPA LAIYAM POST MELKALLUPALAYAM RASIPURAM TAMIL NADU 637403
Address of Client
Trading Account No. 45599087

Depository Participant Name Edelweiss Broking Limited


DP ID CDSL 12032300 ✔ (Please select whichever applicable)
DP ID NSDL IN303719 / IN302201 (Please select whichever applicable)
Demat Account No. 1203230013146971

Sr. No. Purpose


1 Transfer of securities held in the beneficial owner accounts of the client towards Stock Exchange related deliveries / settlement obligations arising
out of trades executed by clients on the Stock Exchange through the same stock broker.
2 Pledging / re-pledging of securities in favour of trading member (TM) / clearing member(CM) for the purpose of meeting margin requirements of
the clients in connection with the trades executed by the clients on the Stock Exchange.

Signature of the Client 7

Schedule I I (Details of Stock Broker’s Demat Account)

Name of DP / CC DP ID Account Type Account No CM BP ID


Edelweiss Broking Ltd. IN303719 NSE POOL A/C NSDL 10246227 IN565785
Edelweiss Broking Ltd. IN303719 BSE POOL A/C NSDL 10246235 IN655816
Edelweiss Broking Ltd. 12032300 NSE POOL A/C CDSL 00158395 -
Edelweiss Broking Ltd. 12032300 BSE POOL A/C CDSL 00158420 -
Edelweiss Broking Ltd. 12032300 BSE PRINCIPAL 00158416 -
NSCCL* NSE MUTUAL FUND - IN565576
ICCL* BSE STAR MF - IN620031
Edelweiss Broking Ltd. IN303719 CLIENT SECURITIES MARGIN PLEDGE ACCOUNT 11079884 -
Edelweiss Broking Ltd. 12032300 CLIENT SECURITIES MARGIN PLEDGE ACCOUNT 05041035 -
Edelweiss Broking Ltd. IN303719 CLIENT SECURITIES -  MARGIN FUNDING ACCOUNT 11079905 -
Edelweiss Broking Ltd. 12032300 CLIENT SECURITIES - MARGIN FUNDING ACCOUNT 05041069 -
Edelweiss Broking Ltd. 12032300 MSE CLEARING MEMBER ACCOUNT 00358456
Edelweiss Broking Ltd. 12032300 NSE Pool A/c SLBM 00248658
Edelweiss Broking Ltd. IN300719 MSE Clearing Member Account 11006906 IN473445
Edelweiss Broking Ltd. 12032300 CLIENT SECURITIES MARGIN PLEDGE ACCOUNT-COMMODITY 05041054 -
Edelweiss Broking Ltd. IN300719 CLIENT SECURITIES MARGIN PLEDGE ACCOUNT-COMMODITY 11079892 -
Edelweiss Broking Ltd. 11000010 BSE EARLY PAY-IN ACCOUNT 00020685
Edelweiss Broking Ltd. 11000011 NSE EARLY PAY-IN ACCOUNT 00017404
Note :- *These accounts will be used through DDPI route on receipt of approval from the regulators
Digitally Signed by:
28/09/2022 HYDERABAD
Date ____________________
Name:Vignesh Senthilkumar Place____________________
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 14 V01/Sep/2022
Edelweiss Broking Ltd.

Acceptance of DDPI
I,_____________________________________________________________________________________________
Vivek Shinde, Edelweiss Broking Limited. 3rd Floor, Tower 3, Wing B, Kohinoor City Mall, Kohinoor City,Kirol Road, Kurla(W)

Mumbai Maharashtra 400070


_____________________________________________________(Name, Address, Designation) on behalf of Edelweiss Broking Limited
accept appointment as an agent under this DDPI and undertake the powers conferred hereunder shall be exercised by me and/or by any other person
authorized by Edelweiss Broking Limited honestly, in accordance with the conditions and directions set out above.

(Date & Signature of Agent) Vivek Shinde (28/09/2022 10:00:27)

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Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 15 V01/Sep/2022
Edelweiss Broking Ltd.

Voluntary Authorisations
Please read the detailed terms and conditions for each of the below authorizations in the small booklet.
By ticking on YES you authorize EBL to maintain the Trading Account as
1. Authorisation for Periodic Settlement of Funds and Securities ✔ Yes No
Running Account thereby adjusting any obligations and receivables.

To maintain my/our account on a running account basis and adjust any amounts receivable from me against any credits standing into my account or from my
forthcoming pay-outs payable by me/ us to Edelweiss Broking Ltd, where I am / we are registered with you as a Client.
My/our preference for periodic settlement of funds and securities is as follows:
a) Monthly b) Quarterly ✔

2. Authorization for receiving ECN's and any documents/communications in electronic form by E-mail from the Stock Broker (for Equity and
Commodity Derivatives) and Depository Participant :- ✔ Yes No By ticking on YES you authorize EBL to maintain the Trading Account as
Running Account thereby adjusting any obligations and receivables.

I/We hereby give my consent to receive documents/communications by Email/SMS on my email-id / mobile number registered with the Stock Broker /
Depository Participant.

3. Authorisation for debiting various depository charges :- ✔ Yes No By ticking on YES you authorize EBL to deduct all DP charges from your account.

I hereby give my consent/authority to debit/recover all types of depository charges viz annual maintenance charges, inter settlement charges, any type of
transaction charges as is levied on me for the transactions carried out in my demat account including any statutory levies, services tax or any other
tax/charges/fees in/from my trading ledger having the captioned client code as maintained with EBL.
By ticking on YES you express your approval and interest in receiving information on
4. Sharing of Data & Information :- ✔ Yes No various other financial products/services that EBL has to offer.
You also allow EBL to share your preferences with other allied businesses.
I/We authorize you to the extent appropriate for our relationship with you, personal information may be shared for the purposes as mentioned in the
Voluntary terms and conditions document, about me/us with its group/associate companies or affiliates.”

5. Request for trading in commodity forward contracts/commodity derivatives on MCX and NCDEX :- Yes ✔ No

I/We confirm to trade in commodity forward contracts/commodity derivatives as your client on MCX / NCDEX,and I agree to abide by all the
Rules/Regulations as prescribed by SEBI/Exchanges from time to time.

6. Acceptance of securities as collateral for any or all segment(s) :- ✔ Yes No

I/we hereby provide my / our consent/ authorisation to further pledge /deposit my/our securities lying with you or in my/our Beneficial account(Demat
Account No) with the clearing member / clearing corporation for additional exposure availed by me / us during the period of my relationship with you.

7. Further Representations and Declarations cum Undertaking :- ✔ Yes No

I / We also further declare and undertake that I/We shall always indemnify and/or keep Comtrack Participant (Edelweiss Broking Limited) and / or to any of
theassociate / group companies of Edelweiss with which I/We shall have dealings of whatever nature and any / all of its / their
respectiveDirectors/officials/employees and each of them always indemnified against all costs/charges and/or losses as may arise on account of each of
them severallyacting in pursuance of this declaration-cum-undertaking-cum-authorization and indemnification and further declare and undertake that
under nocircumstances it/they shall be severally held liable and/ or responsible for any cost/charges/loss incurred by me/us on account on any
trades/transactions for anyof the above-mentioned events herein contained.

I/we hereby confirm and agree to have read and understood the terms and conditions of the above voluntary authorizations as specified
in the small booklet.

VIGNESH SENTHILKUMAR
Name _____________________________________________
11
Signature___________________________________________
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 16 V01/Sep/2022
Edelweiss Broking Ltd.

NERL / CCRL ACCOUNT Details

To be filled and submitted by clients holding NERL / CCRL account

1. Name of Client :

2. Client Address :

3. PAN No.:

4. Bank Details(other than as mentioned in Annexure 1 Part II):

Branch Bank Account Type: MICR


Bank Name IFSC code
Address Account No. Saving/Current/Others Number

5. Name of Trading Member : EDELWEISS BROKING LIMITED

6. Trading Member ID : MCX – 56520 and NCDEX – 1279

7. NERL/CCRL Details of client :

NERL/CCRL NERL/CCRL Account No.


Sr. No. Repository Participant Name
Participant ID of Beneficiary

DECLARATION
I/We hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I/We undertake to inform you of any change
therein, immediately. In case any of the above information isfound to be false or untrue or misleading or misrepresenting. I am/we are aware that I/We may be held
liable for it.

12
Signature of Client :

Place :

Date :

Note:
1. Please provide a certified copy of NERL/CCRL master or a recent NERL/CCRL holding statement issued by a Repository Participant bearing name of Client.
2. In case the client has multiple NERL/CCRL account, Please provide proof and details of the same.
3. In case of PAN provide certified copy of PAN.
4. InSigned
Digitally case ofby:Bank account provide copy of cancelled cheque as proof for all the bank account details provided.
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 17 V01/Sep/2022
Edelweiss Broking Ltd.

Request for SMS and E-mail Alerts from Stock Exchange/s & Stock Brokers
(Reference to SEBI circular Ref. No. CIR/MIRSD/15/2011 dated August 02, 2011)

To,
This document and the details that you furnish will allow us and the
Edelweiss Broking Ltd. exchanges to send you all relevant information of your account and
Edelweiss House, Off C.S.T. Road, Kalina, Mumbai 400098. transactions by SMS and e-mail.

Dear Sir,

45599087
Sub: SMS and E-mail alerts from Stock Exchange/s & Stock Brokers, Depository Participant for my Trading Account No.__________________
1203230013146971
and Demat account __________________ with you

I/We request you to activate the facility of SMS and Email alerts from Stock Exchanges/Stock Brokers for transactions in the above mentioned trading account.

✔ YES I/ We wish to receive alerts by SMS/EMAIL

By SMS By EMAIL ✔ By SMS & EMAIL*

* If opted for both SMS and Email facility, it is mandatory to give both the Mobile number and Email ID.

If you wish to receive alerts by SMS/E-mail, the following options are available (Tick any one and give the details accordingly)

✔ A) I/We wish to receive alerts from the Stock Exchanges/Stock Brokers. Kindly note that if the mobile no/email ID mentioned here is different from the one
provided in my KYC, then this mobile no/Email ID shall prevail and I/We give my consent to details being send to this mobile number/email ID. Kindly
update your records accordingly.

- My Mobile no. 9095589223 is registered in the name of VIGNESH SENTHILKUMAR

- My Email Id is vignesh068790@gmail.com
(Please write only ONE valid email ID on which communication, if any, is to be sent)

B) I/We desire to give mobile number/email id of family member. I/We give my consent to make available my/our trade information to my Family Member
and the mobile number/email Id of my family member is as under. ('Family' would mean self, spouse, dependent children and dependent parents.
Provided such Family Member is also a client of the said broker)

Type of service Mobile No. of Email ID of


Name of Family Relationship (SMS/Email/Both Client
Member with client Family Member Family Member Code
SMS & Email)*

VIGNESH SENTHILKUMAR
Client Name 193

Signature of Client
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 18 V01/Sep/2022
Edelweiss Broking Ltd.

SEBI MARGIN TRADING FACILITY (MTF Facility)


TERMS AND CONDITIONS

The terms and conditions governing MTF Facility provided by Edelweiss Broking transaction under the MTF Facility shall be first adjusted towards the
Limited (EBL) set out below (T&C) and forming part of the account opening debit under the MTF Facility, if any and subject to adequate margin
form must be read in conjunction with the rights and obligations prescribed by being maintained for the outstanding debit under the MTF Facility.
the Securities and Exchange Board of India (SEBI) under SEBI circular no. CIR/
MRD/ DP/54/ 2017 dated June 13, 2017 and the Rules, Regulations, Bye laws, 8. Pay an interest equal to the Delayed Payment Interest charged into
Rights and Obligation, Guidelines and circulars issued by SEBI and the stock the Client’s normal account or upto 30% p.a. interest or at the rate
exchanges from time to time (hereinafter collectively referred to as agreed from time to time.
Regulatory Requirements).
9. EBL at all times shall have the liberty to exercise its rights in its sole
A. For the Client (means and includes an individual, company, discretion to determine the extent to which the MTF Facility will be
partnership firm, trust, Hindu undivided family, association of available to the Client.
persons, body of individuals etc.) The Client agrees to and II. Requirement to Maintain Margin:
confirms, undertakes and authorizes that:
10. Ensure required margin is maintained for the MTF Facility at all points
I. General: of time as per the Regulatory Requirements and as specified by EBL
1. Avail the MTF Facility offered by EBL in accordance with the T&C. from time to time.

2. Consent to the T&C through email /SMS from his/its email id / mobile 11. EBL shall retain and/or pledge the securities of the Client, which are
number registered with EBL or by online mode by logging-in on the utilised for availing the MTF Facility, and /or retain its corporate
website of EBL or by calling the relationship manager or the call benefits, if any, till the amounts due in respect of the transactions
centre through the registered mobile number or by physical mode. including the dues to EBL are paid in full by the Client.

3. The dues of the Client, wherever mentioned in the T&C, include but 12. EBL shall hold and / or appropriate the credit lying in the Client’s
are not limited to the outstanding balances, interest, statutory dues, account and/or any unutilized/ unpledged shares/ securities lying in
taxes, duties, charges, penalties etc. in respect of the MTF Facility the Client’s demat account along with all other demat accounts /
availed by the Client. Mutual Funds / IPO account of the Client towards the repayment of
the outstanding dues thereof under the MTF Facility.
4. The T&C applicable to the grant of the MTF Facility and the obligations
of the Client as amended from time to time is irrevocable and shall not 13. All funds received by EBL shall be credited firstly to the Client’s Futures
be revoked by the death/dissolution/ winding up of the Client. and Options margin account, secondly to the MTF Facility and
thereafter to other accounts,if any. The movement of funds, for the
5. EBL in its sole and exclusive discretion may or may not grant the MTF purpose of maintenance of margin for various accounts, shall take
Facility to the Client. EBL shall not be required to provide any reasons place on the basis of requirement and availability of funds.
for either granting or refusal thereof nor shall EBL be liable for any
damages (whether direct or consequential or whether financial or 14. EBL shall treat the securities available in demat account/s linked to
non-financial) to the Client by reason of it refusing to grant the MTF the trading account of the Client as margin towards the MTF Facility
Facility to the Client. availed by the Client.

6. To communicate / indicate that the transaction is under the MTF 15. Subject to Regulatory Requirements, EBL at its sole and absolute
Facility before placing the order with EBL. If the transaction is entered discretion may increase / revise the limit of initial margin and
under the MTF Facility, there will not be any further confirmation that maintenance margin, minimum transaction amount from time to
it is a margin trading transaction other than the contract note issued time. The Client shall abide by such revision, and where there is an
on conclusion of the transaction. upward revision of such margin amount, the Client agrees to make up
the revised margin immediately. The Client shall make up the revised
7. Transaction/s to be considered for exposure to the MTF Facility shall margin not later than 5 working days from the day of margin call,
be informed to EBL in writing or in any other irrefutable mode of failing which EBL in its discretion may exercise its right to liquidate
communication, including call to the relationship manager or call the security / collateral and / or close out the position immediately.
centre on a recorded land line on T day before close of the trading
hours. In the absence of any such express communication, the 16. Make good the deficient margin / margin call by placing further
transaction shall be considered under the normal trading facility. EBL margin immediately, failing which, depending upon the market
in its discretion may identify the eligible/excess securities available conditions and / or the volatility, EBL in its discretion may exercise its
with the Client and mark the same as collateral towards the MTF right to liquidate the security / collateral and / or close out the
Facility.
Digitally Signed by: All credit arising to the Client’s account out of a sale position immediately. The MTF Facility shall be provided only in
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 19 V01/Sep/2022
To be cont. ....
Edelweiss Broking Ltd.

respect of shares as permitted by Regulatory Requirements and/or margin/ margin calls, decision to liquidate the position / security /
EBL from time to time. collateral, margin statements, margin policies on haircuts / VAR
margin, risk management policies, rights & obligations, etc.
III. Closing out of position:
V. Miscellaneous:
17. Notwithstanding anything contained in clauses 15 and 16 above, EBL
may, in its sole discretion, determine the time to sell the securities to 21. The MTF Facility may be withdrawn by EBL, in the event of the Client
be liquidated, and / or which contract(s) is / are to be closed. committing any breach of any of the T&C or at any time after due
intimation to the Client allowing such time to liquidate the MTF
18. All losses and financial charges on account of such liquidation/closing position as agreed herein, without assigning any reason.
out shall be charged to and borne by the Client.
22. In the event of termination of this arrangement, the Client shall
19. On the happening of any of the following events, EBL may, forthwith settle the dues of EBL. EBL shall be entitled to immediately
immediately and without any notice, liquidate the security / adjust the margin amount against the dues of the Client, and the
collateral and or close out the position of the Client: Client hereby authorizes EBL to make such adjustment. If any further
amount is due from the Client to EBL, after such adjustment, then the
i. if any instrument for payment of Margin Money / Monies is / are
Client shall forthwith settle the same. EBL shall release the balance
dishonoured;
amount to the Client upon full settlement of all the dues of the Client
ii. if the Client provides any incorrect or misleading information or to EBL.
violates or is in breach of any provision of the T&C; if there is a
23. EBL may release/ unpledge / transfer the securities utilized for the
change in the constitution of the Client whether on account of
MTF Facility within 5 working days of the Client clearing the dues to
admission of a new partner or retirement/death/insolvency of
EBL.
any partner or otherwise or if the Client has voluntarily or
compulsorily become the subject of any proceedings under any 24. A protest /disagreement with any transaction, document,
bankruptcy/ insolvency law or winding up / liquidation statements, contract notes or any communication under the MTF
proceedings or a receiver or liquidator has been appointed in Facility shall be lodged by the Client within 24 hours from the date of
respect of the Client’s assets or makes an application or refers receipt of the same.
itself to any authority for being declared as a "sick company",
relief undertaking, bankrupt or insolvent or seeking financial 25. Subject to clearing EBL’s dues, the Client can close/terminate the MTF
reconstruction or any other like scheme (by whatever name Facility at any time.
called) or is dissolved; the death, lunacy or any other disability of
the Client; 26. Any dispute in connection with the MTF Facility arising between the
Client and EBL shall be referred to the investor grievance redressal
iii. if the Client has admitted its inability to pay his/its dues when mechanism, arbitration mechanism of the relevant stock exchange.
they become payable or there is reasonable apprehension that
27. The Client must before deposit and/or purchase of any securities
the Client is unable to pay its outstanding dues;
belonging to the promoters/promoter group; intimate the nature of
iv. if any order is passed by any regulatory authority, courts, etc. the same to EBL before deposit and/or purchase of the securities for
requiring EBL to liquidate the security / collateral and/or close availing MTF Facility, failing which the same will be treated as non-
out the position of the Client or if the Client is convicted under promoter holding.
any law in force;
28. The terms and conditions and amendments made by EBL from time
v. if any asset or any security is seized or made subject to any to time, to the T&C, shall be communicated to the clients which shall
distress, execution, attachment, injunction or other process inter alia include making it available on EBL’s website:
order or proceeding or is detained or taken into custody for any www.edelweiss.in
reason;
B. For EBL
vi. if Client defaults under any facility or arrangement with any
EBL agrees to and undertakes and confirms that:
stock broker. vii. there exists any other circumstance, which in
the sole opinion of EBL, is prejudicial to the interests of EBL. I. Maintenance of Margin:
IV. Communication: 29. The Client can, at anytime, replace the securities provided towards
collateral for the MTF Facility, as long as the said securities are
20. a Based on Client’s preference, the Client accepts all types of approved for margin trading.
communications to Client’s email/message to registered mobile
number of the Client/logging in on EBL website or by physical mode 30. The Client’s positions with regard to the MTF Facility will be
Digitally Signed by:
relating to and including order / trade confirmation, revision in
Name:Vignesh Senthilkumar monitored and reviewed on a continuous basis.
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
To be cont. .... 20 V01/Sep/2022
Edelweiss Broking Ltd.

31. To the extent the Client is eligible and subject to the required margin the MTF Facility and the stocks purchased under the MTF Facility
being available, additional exposure over the debit balance may be (Funded stocks) shall be separately identifiable and there shall not be
granted EBL shall, in its sole discretion will identify the any co-mingling for the purpose of computing funding amount.
eligible/excess securities available with the Client and mark the same
as collateral towards the MTF Facility. All credit arising to the Client’s 43. The funds of one Client shall not be used to provide MTF Facility to
account out of a sale transaction under the MTF Facility shall be first another Client even if so authorised by the first Client.
adjusted towards the debit under the MTF Facility, if any and subject
to adequate margin being maintained for the outstanding debit 44. Investor Protection Fund (IPF) will not be available for transactions
under the MTF Facility. done on the exchanges, through the MTF Facility, in case of any losses
suffered in connection with the MTF Facility availed by a Client.These
32. EBL shall clearly indicate the additional / deficient margin to be made T& C are supplemental to and do not supersede the terms and
good by the Client when it makes a 'margin call' to the Client. conditions contained in the mandatory documents executed by the
Client such as KYC forms, Rights & Obligations etc., as also the Rules,
33. If EBL liquidates the Client’s securities, the contract note issued for Regulations, Bye-laws, circulars of the exchanges, directives and
such margin call related transaction shall carry an asterisk or guidelines of regulatory authorities.
identifier that the transaction has arisen as a result of a margin call.
RIGHTS AND OBLIGATIONS RELATING TO MARGIN TRADING FACILITY
34. The daily margin statements sent by EBL to the Client shall identify PROVIDED BY STOCK BROKER/ TRADING MEMBER TO CLIENTS
the margin/collateral for MTF Facility separately. – BSE
II. Closing/Termination of Account: 1. Stock Broker/ Trading Member is eligible to provide Margin Trading
Facility (MTF) in accordance with SEBI & Exchange Guidelines as
35. Upon receipt of a request from the Client to close/terminate the
specified from time to time.
account of the Client, EBL shall forthwith close/terminate the same
subject to payment by the Client of all its dues under the MTF Facility. 2. Stock Broker/ Trading Member desirous of extending MTF to their
clients is required to obtain prior permission of BSE. Stock Broker/
36. If for any reason whatsoever EBL surrenders the MTF Facility or ceases
Trading Member may note that BSE has the right to withdraw the
to be a member of the stock exchange or the stock exchange
permission at anytime.
withdraws the MTF Facility provided to EBL then the margin trading
arrangement between EBL and the Client shall be terminated. 3. Stock Broker/ Trading Member shall extend the MTF to the client, on
37. Subject to clearing all dues payable to EBL, the Client may opt to such terms and conditions as specified by the Stock Exchange / SEBI
terminate the MTF Facility, in the event of EBL committing any breach from time to time. Stock Broker/ Trading Member and the client shall
of any terms or conditions herein or for any other reason. abide by the requirements of the margin trading framework,
including rights and obligations, as prescribed by Stock Exchange/
38. Upon the Client opting to terminate the MTF Facility and on payment SEBI/ Stock Broker/ Trading Member.
of all the dues payable by the Client to EBL, EBL shall return to the
Client all the collaterals provided and funded securities retained 4. Stock Broker/ Trading Member shall intimate all the terms and
forthwith, but not later than 5 working days from the date of such conditions, including maximum allowable exposure, specific stock
payment. exposures etc., as well as the rights and obligations to the client
desirous of availing MTF.
III. Miscellaneous:
5. Stock Broker/ Trading Member may, at its sole and absolute
39. The Client shall, after paying all dues, be free to take the delivery of discretion, increase the limit of initial and/or maintenance margin,
the securities at any time by repaying the amounts paid by EBL to the from time to time. The Client shall abide by such revision, and where
exchanges towards the securities. there is an upward revision of such margin amount, he agrees to
make up the shortfall within such time as the Stock Broker/ Trading
40. EBL shall issue appropriate records to communicate to the Client the Member may permit. It may however, be noted that the initial/
change in status of a transaction from normal to MTF Facility, if the maintenance margins shall never be lower than that prescribed by
Client determines to convert a normal trade into MTF after the Stock Exchange/ SEBI.
issuance of a contract note, and shall include information like the
original contract number and the margin statement and the changed 6. Stock Broker/ Trading Member shall provide MTF only in respect of
data. such shares, as may be permitted by Stock Exchange/ SEBI.

41. If there is no transaction for 90 days in a Margin Trading Account and if 7. Stock Broker/ Trading Member shall liquidate the securities and other
there are any outstanding dues from client then the account shall be collateral, if the client fails to meet the margin call to comply with the
settled immediately. margin requirement as specified by Stock Exchange/ SEBI/ Stock
Digitally Signed by:
Broker/ Trading Member. In this regard, Stock Broker/ Trading
42. The
Name:Vignesh stocks deposited as collateral with EBL (Collaterals) for availing
Senthilkumar Member shall also list down situations/ conditions in the which the
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
To be cont. .... 21 V01/Sep/2022
Edelweiss Broking Ltd.

securities may be liquidated (Stock Broker/ Trading Member to list 4. On receipt of ‘margin call’, the client shall make good such deficiency
down situations/ conditions): in the amount of margin placed with the Stock Broker within such
time as the Stock Broker may specify.
8. Stock Broker/ Trading Member shall not use the funds of one client to
provide MTF to another client, even if the same is authorized by the 5. By agreeing to avail Margin Trading Facility with the broker, client is
first client. deemed to have authorized the broker to retain and/or pledge the
securities provided as collateral or purchased under the Margin
9. The stocks deposited as collateral with the Stock Broker/ Trading Trading Facility till the amount due in respect of the said transaction
Member for availing margin trading facility (Collaterals) and the including the dues to the broker is paid in full by the client.
stocks purchased under the margin trading facility (Funded stocks)
shall be identifiable separately and no comingling shall be permitted 6. Client shall lodge protest or disagreement with any transaction done
for the purpose of computing funding amount under the margin trading facility within the timelines as may be
agreed between the client and broker.
10. IPF shall not be available for transactions done on the Stock
Exchange, through MTF, in case of any losses suffered in connection STOCK BROKER RIGHTS
with the MTF availed by the client.
1. Stock Broker and client may agree between themselves the terms
The rights and obligations prescribed hereinabove shall be read in conjunction and condition including commercial terms if any before
with the rights and obligations as prescribed under SEBI circular no. CIR/ MIRSD/ commencement of MTF.
16/ 2011 dated August 22, 2011.
2. Stock broker may set up its own risk management policy that will be
RIGHTS & OBLIGATIONS OF STOCK BROKERS & CLIENTS – NSE applicable to the transactions done under the Margin Trading Facility.
FOR Stock broker may make amendments there to at any time but give
MARGIN TRADING FACILITY (MTF) effect to such policy after the amendments are duly communicated
to the clients registered under the Margin Trading Facility.
CLIENT RIGHTS
1. Client shall receive all communications in a mode mutually agreed 3. The broker has a right to retain and/or pledge the securities provided
between the broker and the client regarding confirmation of as collateral or the securities bought by the client under the Margin
orders/trades, margin calls, decision to liquidate the position / Trading Facility.
security.
4. The broker may liquidate the securities if the client fails to meet the
2. Client shall be free to take the delivery of the securities at any time by margin call made by the broker as mutually agreed of liquidation
repaying the amounts that was paid by the Stock Broker to the terms but not exceeding 5 working days from the day of margin call.
Exchange towards securities after paying all dues.
STOCK BROKER OBLIGATIONS
3. Client has a right to change the securities collateral offered for Margin
1. Stock broker shall agree with the client the terms and condition
Trading Facility at any time so long as the securities so offered are
before extending Margin Trading Facility to such client. However, for
approved for margin trading facility.
clients who already have existing trading relationship and want to
4. Client may close / terminate the Margin Trading Account at any time avail of Margin Trading Facility, stock broker may take consent in
after paying the dues. writing in his own hand or in any irrefutable electronic method after
stock broker has communicated the terms and conditions of Margin
CLIENT OBLIGATIONS Trading Facility to such existing clients.

1. Client shall, in writing in his own hand or in any irrefutable electronic 2. The terms and conditions of Margin Trading Facility shall be identified
method, agree to avail of Margin Trading Facility in accordance with separately, in a distinct section if given as a part of account opening
the terms and conditions of Margin Trading Facility offered by the agreement.
broker, method of communication for confirmation of orders/trades,
margin calls and calls for liquidation of collateral/security/position. 3. The mode of communication of order confirmation, margin calls or
liquidation of position/security shall be as agreed between the
2. Client shall inform the broker of its intent to shift the identified broker and the client and shall be in writing in his own hand or in any
transaction under Margin Trading Facility within the time lines irrefutable electronic method. Stock broker shall prescribe and
specified by the broker failing which the transaction will be treated communicate its margin policies on haircuts/ VAR margins subject to
under the normal trading facility minimum requirements specified by SEBI and exchanges from time
to time.
3. Client shall place the margin amounts as the Stock Broker may specify
to the client from time to time. 4. The Stock Broker shall monitor and review on a continuous basis the
Digitally Signed by: client’s positions with regard to MTF. It is desirable that appropriate
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
To be cont. .... 22 V01/Sep/2022
Edelweiss Broking Ltd.

alert mechanism is set up through which clients are alerted on TERMINATION OF RELATIONSHIP
possible breach of margin requirements.
1. The margin trading arrangement between the stock broker and the
5. Any transaction to be considered for exposure to MTF shall be client shall be terminated; if the Stock Exchange, for any reason,
determined as per the policy of the broker provided that such withdraws the margin trading facility provided to the Stock Broker or
determination shall happen not later than T + 1 day. the Stock Broker surrenders the facility or the Stock Broker ceases to
be a member of the stock exchange.
6. If the transaction is entered under margin trading account, there will
not be any further confirmation that it is margin trading transaction 2. The MTF facility may be withdrawn by the broker, in the event of
other than contract note. client committing any breach of any terms or conditions therein or at
anytime after due intimation to client allowing such time to liquidate
7. In case the determination happens after the issuance of contract, the the MTF position as per the agreed liquidation terms without
broker shall issue appropriate records to communicate to Client the assigning any reason. Similarly, client may opt to terminate the
change in status of transaction from Normal to Margin trading and margin trading facility in the event of broker committing any breach
should include information like the original contract number and the of any terms or conditions therein or for any other reason.
margin statement and the changed data.
3. In the event of termination of this arrangement, the client shall
8. The Stock Broker shall make a ‘margin call’ requiring the client to forthwith settle the dues of the Stock Broker. The Stock Broker shall be
place such margin; any such call shall clearly indicate the entitled to immediately adjust the Margin Amount against the dues
additional/deficient margin to be made good. of the client, and the client hereby authorizes the Stock Broker to
make such adjustment.
9. Time period for liquidation of position/security shall be in accordance
declared policy of the broker as applicable to all MTF clients 4. After such adjustment, if any further amount is due from the client to
consistently. However, the same should not be later than 5 working the Stock Broker, the client shall settle the same forthwith. Upon full
(trading) days from the day of ‘margin call’. If securities are liquidated, settlement of all the dues of the client to the Stock Broker, the Stock
the contract note issued for such margin call related transactions Broker shall release the balance amount to the client.
shall carry an asterisk or identifier that the transaction has arisen out
of margin call. 5. If the client opts to terminate the margin trading facility, broker shall
forthwith return to the client all the collaterals provided and funded
10. The daily margin statements sent by broker to the client shall identify securities retained on payment of all the dues by clients.
the margin/collateral for Margin Trading separately.
6. I confirm to Pledge the shares, in favour of Edelweiss Broking Limited
11. Margin Trading Accounts where there was no transactions for 90 days (EBL), which are bought under Margin Trading Facility (MTF). I hereby
shall be settled immediately. authorise EBL to initiate pledge instructions for these shares and I will
ensure to validate such Pledge through OTP on the link received in a
12. The stocks deposited as collateral with the stock broker for availing
SMS or E-Mail from the Depository (NSDL/CDSL) on my mobile
margin trading facility (Collaterals) and the stocks purchased under
number and e-mail id registered in my Demat account. In case,
the margin trading facility (Funded stocks) shall be identifiable
execution of pledge request is not confirmed to EBL by Depository,
separately and there shall not be any comingling for the purpose of
then I authorize EBL to square off my position at their discretion.
computing funding amount;
I hereby agree to the above-mentioned terms & conditions and
13. Stock Broker shall close/terminate the account of the client forthwith
provide my consent for availing Margin Trading facility with
upon receipt of such request from the client subject to the condition
Edelweiss Broking Limited
that the client has paid dues under Margin Trading Facility.

Signature of Client 14
Name: VIGNESH SENTHILKUMAR

28 09 2022
Date:______/______/__________ Place: RASIPURAM

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 23 V01/Sep/2022
Edelweiss Broking Ltd.

Mutual Fund confirmations

To Date: ________________
28-09-2022
Edelweiss Broking Ltd. (EBL)
Edelweiss House, Off CST Road,
Kalina, Mumbai - 400 098.

Dear Sir,

Subject: BSE Star MF / MFSS


VIGNESH SENTHILKUMAR
I/We ______________________________________________ am/are registered as your client with Client Code No. _____________
45599087 and
have entered into relationship with the Trading Member for the purpose of trading in the Capital Market Segment of Bombay Stock Exchange Ltd. (Exchange)
and National Stock Exchange Ltd. (Exchange).

I/We am/are interested in availing the trading facility of the Exchange for the purpose of dealing in the units of Mutual Funds Schemes permitted to be dealt
with on the BSE STAR MF and MFSS on the Exchange.

I/we am/are provides my consent for mutual fund trading against collateral lying my account. Also, aware that in event of non clearance of debit in my/our
trading accounts; there is risk of stock collateral or MF collateral getting liquidated to extent of my/our ledger debit for recovery of trading debit.

For the purpose of availing this BSE STAR MF & MFSS facility, I/We state that Know Your Client details as submitted by me/us for the stock broking may be
considered for the purpose of BSE STAR MF & MFSS and I/We further confirm that the details contained in same remain unchanged as on date.

I/We am/are willing to abide by the terms and conditions as mention in the circular dated December 2,2009 and such other Notices/Circulars as may be specified
by the Exchange/ICCL from time to time in this regards, for BSE STAR MF and Terms & Conditions mentioned in circular No. NSE/MFSS/003/2001 download Ref.
No. NSE (MIC/13533) dated November 24, 2009.

I/We shall ensure also compliance with the requirements as may be specified from time to time by Securities and Exchange Board of India and Association of
Mutual Funds of India (AMFI).

I/We shall read and understand the contents of the Scheme Information Document and Key Information Memorandum, addenda issued regarding each Mutual
Fund Schemes with respect to which I/We choose to subscribe/redeem. I/We further agree to abide by the terms and conditions, rules and regulations of the
Mutual Fund Schemes.

I/We therefore request you to register me/us as your client for participating in BSE STAR MF and MFSS.

Thanking you,
15

Yours faithfully,
Signature of Client / Authorised Signatories
Client Name VIGNESH SENTHILKUMAR (Please sign in blue ink only)
Demat A/c No. 1203230013146971 Date 28-09-2022

1st Holder VIGNESH SENTHILKUMAR Place RASIPURAM

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 24 V01/Sep/2022
Edelweiss Broking Ltd.

CENTRAL KYC REGISTRY | Instructions / Check list / Guidelines for filling Individual KYC Application Form
A Clarification / Guidelines on filling ‘Personal Details’ section
1 Name: The name should match the name as mentioned in the Proof of Identity submitted failing which the application is liable to be rejected.
2 One the following is mandatory: Mother’s name, Spouse’s name, Father’s name.
B Clarification / Guidelines on filling ‘Current Address Details’ section
1 In case of deemed PoA such as utility bill, the document need not be uploaded on CKYCR.
2 PoA to be submitted only if the submitted PoI does not have current address or address as per PoI is invalid or not force.
3 State / U.T. Code and Pin / Post Code will not be mandatory for Overseas addresses.
4 In Section 2, one of I, II and III is to be selected, In case of online E-KYC authentication, II is to be selected.
5 In Section 3, one of I, II, III and IV is to be selected. In case of online E-KYC authentication, II is to be selected.
6 List of documents for‘Deemed Proof of Address’.
Document Code Description
01 Utility bill which is not more than two months old or any service provider (electricity, telephone, post-paid mobile phone, piped gas,
water bill).
02 Property or Municipal tax receipt.
03 Pension or family pension payment orders (PPOs) issued to retired employees by Government Departments or Public Sector
Undertakings,if they contain the address.
04 Letter of allotment of accommodation from employer issued by State Government or Central Government Departments, statutory or
regulatory bodies, public sector undertakings, scheduled commercial banks, financial institutions and listed companies and leave
and licence agreements with employers allotting official accommodation.
7 Regulated Entity (RE) shall redact (first 8 digits) or the Aadhaar number from Aadhaar related data and documents such as proof of possession of
Aadhaar, while uploading on CKYCR.
8 “Equivalent e-document”means an electronic equivalent of a document, issued by the issuing authority of such document with its valid digital signature
including documents issued to the digital locker account of the client as per rule 9 of the information Technology (Preservation and Retention of
information by intermediaries Providing Digital Locker Facilities) Rules, 2016.
9 ‘Digital KYC process’has to be carried out as stipulated in the PML Rules, 2005.
10 REs may use the Self Declaration check box where Aadhaar authentication has been carried out successfully for a client wants to provide a current address
different from the address as per the identity information available in the Central Identities Data Repository.
C Clarification / Guidelines on filling ‘Contact details’ section
1 Please mention two digit country code and 10 digit mobile number (e.g. for Indian mobile number mention 91-9999999999).
2 Do not add ‘0' in the beginning of Mobile number.
D Clarification / Guidelines on filling ‘Related Person details’ section
1 Provided KYC number of related person, if available.
E Clarification on Minor
1 Guardian details are optional for minors above 10 years of age for opening of bank account only.
2 However, in case guardian details are available for minor above 10 years of age, the same (CKYCR number of guardian) is to be uploaded.

------------------------------------------------------------------------------------ (Please Tear Here ) ------------------------------------------------------------------------------------

Acknowledgment Receipt
Application No. Date :
We hereby acknowledge the receipt of the Account Opening Application Form:

Name of the Sole / First Holder

Digitally Signed by: Depository Participant Seal and Signature


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022 25 V01/Sep/2022
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 1

INDIAN BANK
ELACHIPALAYAM
7/39 - B, Main Road Elachipalayam , Namakkal District Tamil Nadu , india
Branch Code :00781
Account Number : 6055266464
Product type : SB NONCHQ-GEN-PUB-SU/RURAL-INR
S VIGNESH
S/O SENTHILKUMAR
D NO 2/133 KILAPPALAYAM
KILAPPALAYAM(PO)
TIRUCHENGODE(TK) NAMAKKAL(DT)
Email : vignesh068790@gmail.com
Statement Date :Sun Nov 29 17:03:07 IST 2020
Cleared Balance :223.19
Uncleared Amount :0.00
Drawing Power :0.00
Interest Rate : 2.900

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
BALANCE B/F 3932.50CR
01/09/ 01/09/ ATM SERVICE BY TRANSFER 5.00 3937.50CR
2020 2020 BRANCH UPI
TRANSFER/0245
01369883/Rewar
ded for paying
TRANSFER
FROM
97216007819
01/09/ 01/09/ ELACHIPALAYA ATM WDL ATM 1000.00 2937.50CR
2020 2020 M WDL SEQ NO
024521332801
ATM ID
CCB8022 TRAN
DATE (MMDD)
0901 TRAN
TIME
(HHMMSS)
212011
02/09/ 02/09/ MICROSATE, ONUS ATM WDL 2000.00 937.50CR
2020 2020 RASIPURAM ATM WDL SEQ
NO 5849
ATM ID
S1C020361
TRAN DATE
(MMDD) 0902
TRAN TIME
(HHMMSS)
132302
03/09/ 03/09/ ELACHIPALAYA ATM WDL ATM 500.00 437.50CR
2020 2020 M WDL SEQ NO
024708332665
ATM ID
CCB8022 TRAN
DATE (MMDD)
0903 TRAN
TIME
(HHMMSS)
080814
06/09/ 06/09/ ATM SERVICE BY TRANSFER 500.00 937.50CR
2020 2020 BRANCH UPI
TRANSFER/0250
28534352/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 2

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
06/09/ 06/09/ ATM SERVICE WITHDRAWAL 13.00 924.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0250
19042018/UPI
TRANSFER TO
97215007810
06/09/ 06/09/ ATM SERVICE BY TRANSFER 400.00 1324.50CR
2020 2020 BRANCH UPI
TRANSFER/0250
76736954/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
06/09/ 06/09/ ATM SERVICE WITHDRAWAL 1225.00 99.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0250
20459430/Exam
fee TRANSFER
TO 97215007810
07/09/ 07/09/ ATM SERVICE CREDIT UPI 400.00 499.50CR
2020 2020 BRANCH TCC
025048160347
06/09/2020
08/09/ 08/09/ ATM SERVICE WITHDRAWAL 400.00 99.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0252
09452360/Gj
TRANSFER TO
97215007810
08/09/ 08/09/ ATM SERVICE WITHDRAWAL 49.00 50.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0252
10168866/UPI
TRANSFER TO
97215007810
09/09/ 09/09/ ATM SERVICE BY TRANSFER 70.00 120.50CR
2020 2020 BRANCH UPI
TRANSFER/0253
09331340/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
09/09/ 09/09/ ATM SERVICE WITHDRAWAL 57.00 63.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0253
09548512/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
11/09/ 11/09/ NAMAKKAL ONUS BNA DEP 33500.00 33563.50CR
2020 2020 SEQ NO 3519
ATM ID
S1C002001
TRAN DATE
(MMDD) 0911
TRAN TIME
(HHMMSS)
210141
12/09/ 12/09/ ATM SERVICE WITHDRAWAL 15000.00 18563.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0256
08112714/Transf
er TRANSFER
TO 97215007810
12/09/ 12/09/ ATM SERVICE WITHDRAWAL 18400.00 163.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0256
08115783/Transf
er TRANSFER
TO 97215007810

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 3

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
12/09/ 12/09/ ATM SERVICE WITHDRAWAL 150.00 13.50CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02561
1143664/091909
5589223/PYTM/v
h TRANSFER TO
97158007813
12/09/ 12/09/ ELACHIPALAYA E COM PUR 1.00 12.50CR
2020 2020 M ECOM TX SEQ
NO
025611222953
TERMINAL ID
00218060 DATE
(MMDD) 0912
TIME
(HHMMSS)
114747
13/09/ 13/09/ ATM SERVICE BY TRANSFER 2000.00 2012.50CR
2020 2020 BRANCH /IMPS/P2A/02571
0294104/vky
TRANSFER
FROM
97157007814
13/09/ 13/09/ ATM SERVICE WITHDRAWAL 1649.00 363.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0257
12214125/UPI
TRANSFER TO
97215007810
15/09/ 15/09/ ATM SERVICE BY TRANSFER 100.00 463.50CR
2020 2020 BRANCH UPI
TRANSFER/0258
62117820/NA
TRANSFER
FROM
97216007819
15/09/ 15/09/ ATM SERVICE WITHDRAWAL 100.00 363.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0258
62180460/NA
TRANSFER TO
97215007810
16/09/ 16/09/ ATM SERVICE WITHDRAWAL 200.00 163.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0260
12049718/Bb
TRANSFER TO
97215007810
16/09/ 16/09/ ATM SERVICE BY TRANSFER 500.00 663.50CR
2020 2020 BRANCH UPI
TRANSFER/0260
15442629/UPI
TRANSFER
FROM
97216007819
17/09/ 17/09/ ATM SERVICE WITHDRAWAL 100.00 563.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0260
23850791/UPI
TRANSFER TO
97215007810
17/09/ 17/09/ ATM SERVICE BY TRANSFER 100.00 663.50CR
2020 2020 BRANCH UPI REVERSAL
TRANSFER/0260
23850791/Remar
ks TRANSFER
FROM
97215007810
17/09/ 17/09/ ATM SERVICE WITHDRAWAL 500.00 163.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0261
98543147/NA
TRANSFER TO
97215007810

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 4

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
17/09/ 17/09/ ATM SERVICE BY TRANSFER 5.00 168.50CR
2020 2020 BRANCH UPI
TRANSFER/0261
98557040/Transf
erring Money o
TRANSFER
FROM
97216007819
17/09/ 17/09/ ATM SERVICE WITHDRAWAL 55.00 113.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0261
13850424/UPI
TRANSFER TO
97215007810
18/09/ 18/09/ ATM SERVICE BY TRANSFER 500.00 613.50CR
2020 2020 BRANCH UPI
TRANSFER/0262
10878706/NA
TRANSFER
FROM
97216007819
18/09/ 18/09/ ATM SERVICE WITHDRAWAL 500.00 113.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0262
11447567/NA
TRANSFER TO
97215007810
18/09/ 18/09/ CORE BANKING BY TRANSFER 4500.00 4613.50CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14004261
TRANSFER
FROM
6777385798
18/09/ 18/09/ ATM SERVICE WITHDRAWAL 922.00 3691.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0262
11776439/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
18/09/ 18/09/ ATM SERVICE WITHDRAWAL 149.00 3542.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0262
12275574/d4a66
d519171484e99d
dde61
TRANSFER TO
97215007810
18/09/ 18/09/ ATM SERVICE WITHDRAWAL 55.00 3487.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0262
14704965/UPI
TRANSFER TO
97215007810
18/09/ 18/09/ ELACHIPALAYA E COM PUR 2070.00 1417.50CR
2020 2020 M ECOM TX SEQ
NO
026214463765
TERMINAL ID
17792000 DATE
(MMDD) 0918
TIME
(HHMMSS)
142342
20/09/ 20/09/ ATM SERVICE WITHDRAWAL 1000.00 417.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0264
49550876/NA
TRANSFER TO
97215007810
20/09/ 20/09/ ATM SERVICE BY TRANSFER 1000.00 1417.50CR
2020 2020 BRANCH UPI
TRANSFER/0264
28314726/Payme
nt from PhonePe
TRANSFER Digitally Signed by:
Name:Vignesh Senthilkumar
FROM Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
97216007819
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 5

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
20/09/ 20/09/ ATM SERVICE WITHDRAWAL 48.00 1369.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0264
50257352/Oid118
48371937@Payt
m Rec
TRANSFER TO
97215007810
20/09/ 20/09/ ATM SERVICE WITHDRAWAL 500.00 869.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0264
50770279/NA
TRANSFER TO
97215007810
20/09/ 20/09/ ATM SERVICE BY TRANSFER 5.00 874.50CR
2020 2020 BRANCH UPI
TRANSFER/0264
50775747/Transf
erring Money o
TRANSFER
FROM
97216007819
20/09/ 20/09/ ATM SERVICE WITHDRAWAL 110.00 764.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0264
50827771/Oid118
45449357@Payt
m Uti
TRANSFER TO
97215007810
20/09/ 20/09/ ATM SERVICE WITHDRAWAL 501.00 263.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0264
50886466/Oid118
52200024@Add
Money
TRANSFER TO
97215007810
20/09/ 20/09/ ATM SERVICE BY TRANSFER 10.00 273.50CR
2020 2020 BRANCH UPI
TRANSFER/0264
50912160/Collect
ing all 4 Cri
TRANSFER
FROM
97216007819
20/09/ 20/09/ ATM SERVICE BY TRANSFER 500.00 773.50CR
2020 2020 BRANCH UPI
TRANSFER/0264
18222416/UPI
TRANSFER
FROM
97216007819
21/09/ 21/09/ NAMAKKAL ONUS BNA DEP 1500.00 2273.50CR
2020 2020 SEQ NO 8461
ATM ID
S1C002001
TRAN DATE
(MMDD) 0921
TRAN TIME
(HHMMSS)
084645
22/09/ 22/09/ NAMAKKAL ONUS BNA DEP 1000.00 3273.50CR
2020 2020 SEQ NO 9043
ATM ID
S1C002001
TRAN DATE
(MMDD) 0922
TRAN TIME
(HHMMSS)
083103
22/09/ 22/09/ ATM SERVICE WITHDRAWAL 1500.00 1773.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0266
10145368/UPI
TRANSFER TO Digitally Signed by:
97215007810 Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 6

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
22/09/ 22/09/ ATM SERVICE WITHDRAWAL 979.00 794.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0266
13308681/Vignes
h late payment
dis TRANSFER
TO 97215007810
22/09/ 22/09/ ELACHIPALAYA E COM PUR 10.00 784.50CR
2020 2020 M ECOM TX SEQ
NO
026619506963
TERMINAL ID
17792000 DATE
(MMDD) 0922
TIME
(HHMMSS)
195005
23/09/ 23/09/ ELACHIPALAYA ATM WDL ATM 500.00 284.50CR
2020 2020 M WDL SEQ NO
026717007710
ATM ID
S1CNR770
TRAN DATE
(MMDD) 0923
TRAN TIME
(HHMMSS)
175407
25/09/ 25/09/ CORE BANKING BY TRANSFER 20000.00 20284.50CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14002638
TRANSFER
FROM
6363460869
25/09/ 25/09/ ATM SERVICE WITHDRAWAL 20000.00 284.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0269
11800360/Chequ
e transfer
TRANSFER TO
97215007810
25/09/ 25/09/ ELACHIPALAYA ATM WDL ATM 200.00 84.50CR
2020 2020 M WDL SEQ NO
026914020329
ATM ID
2394EP01 TRAN
DATE (MMDD)
0925 TRAN
TIME
(HHMMSS)
141852
30/09/ 30/09/ ATM SERVICE BY TRANSFER 690.00 774.50CR
2020 2020 BRANCH /IMPS/P2A/02741
0804743/
TRANSFER
FROM
97157007814
30/09/ 30/09/ ATM SERVICE WITHDRAWAL 690.00 84.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0274
10117022/From
vinitha
TRANSFER TO
97215007810
30/09/ 30/09/ ATM SERVICE BY TRANSFER 500.00 584.50CR
2020 2020 BRANCH UPI
TRANSFER/0274
18321517/H
TRANSFER
FROM
97216007819
30/09/ 30/09/ ATM SERVICE WITHDRAWAL 500.00 84.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0274
18346866/UPI
TRANSFER TO
97215007810 Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 7

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
30/09/ 30/09/ ATM SERVICE BY TRANSFER 500.00 584.50CR
2020 2020 BRANCH /IMPS/P2A/02742
1966942/
TRANSFER
FROM
97157007814
30/09/ 30/09/ CREDIT 17.00 601.50CR
2020 2020 INTEREST

01/10/ 01/10/ NAMAKKAL ONUS BNA DEP 4000.00 4601.50CR


2020 2020 TOWN SEQ NO 8816
ATM ID
HIT026321 TRAN
DATE (MMDD)
1001 TRAN
TIME
(HHMMSS)
205333
02/10/ 02/10/ ATM SERVICE BY TRANSFER 4000.00 8601.50CR
2020 2020 BRANCH UPI
TRANSFER/0276
49439079/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
02/10/ 02/10/ ATM SERVICE WITHDRAWAL 8000.00 601.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0276
10280769/From
lifestyle
TRANSFER TO
97215007810
04/10/ 04/10/ NAMAKKAL ONUS BNA DEP 2000.00 2601.50CR
2020 2020 SEQ NO 4137
ATM ID
S1C002001
TRAN DATE
(MMDD) 1004
TRAN TIME
(HHMMSS)
091316
04/10/ 04/10/ ATM SERVICE BY TRANSFER 5000.00 7601.50CR
2020 2020 BRANCH UPI
TRANSFER/0278
07164553/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
04/10/ 04/10/ ATM SERVICE WITHDRAWAL 5000.00 2601.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0278
18264015/UPI
TRANSFER TO
97215007810
05/10/ 05/10/ ATM SERVICE WITHDRAWAL 500.00 2101.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0278
21114416/UPI
TRANSFER TO
97215007810
05/10/ 05/10/ ATM SERVICE WITHDRAWAL 628.00 1473.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0278
23878902/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
05/10/ 05/10/ ATM SERVICE WITHDRAWAL 95.00 1378.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0279
10302874/UPI
TRANSFER TO
97215007810
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 8

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
05/10/ 05/10/ ATM SERVICE WITHDRAWAL 500.00 878.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0279
20427742/UPI
TRANSFER TO
97215007810
05/10/ 05/10/ ATM SERVICE WITHDRAWAL 149.00 729.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0279
20684833/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
05/10/ 05/10/ ATM SERVICE BY TRANSFER 10.00 739.50CR
2020 2020 BRANCH UPI
TRANSFER/0279
21501003/Transf
er TRANSFER
FROM
97216007819
06/10/ 06/10/ ATM SERVICE WITHDRAWAL 300.00 439.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0279
22265618/UPI
TRANSFER TO
97215007810
07/10/ 07/10/ ATM SERVICE WITHDRAWAL 10.00 429.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0281
07375609/UPI
TRANSFER TO
97215007810
07/10/ 07/10/ NAMAKKAL ONUS BNA DEP 1500.00 1929.50CR
2020 2020 SEQ NO 5618
ATM ID
S1C002001
TRAN DATE
(MMDD) 1007
TRAN TIME
(HHMMSS)
085857
07/10/ 07/10/ ATM SERVICE WITHDRAWAL 1000.00 929.50CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02810
9896826/011701
55000115420/KV
BL/NA
TRANSFER TO
97158007813
07/10/ 07/10/ ATM SERVICE BY TRANSFER 300.00 1229.50CR
2020 2020 BRANCH UPI
TRANSFER/0281
91176671/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
07/10/ 07/10/ ATM SERVICE WITHDRAWAL 999.00 230.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0281
10980800/UPI
TRANSFER TO
97215007810
07/10/ 07/10/ ATM SERVICE BY TRANSFER 1.00 231.50CR
2020 2020 BRANCH UPI
TRANSFER/0281
14561253/UPI
TRANSFER
FROM
97216007819
08/10/ 08/10/ CORE BANKING BY TRANSFER 1000.00 1231.50CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14002638
TRANSFER
FROM
6363460869 Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 9

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
08/10/ 08/10/ ATM SERVICE WITHDRAWAL 1000.00 231.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0282
13198380/UPI
TRANSFER TO
97215007810
10/10/ 10/10/ ATM SERVICE WITHDRAWAL 100.00 131.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0284
78837940/NA
TRANSFER TO
97215007810
10/10/ 10/10/ NAMAKKAL ONUS BNA DEP 22000.00 22131.50CR
2020 2020 SEQ NO 7357
ATM ID
S1C002001
TRAN DATE
(MMDD) 1010
TRAN TIME
(HHMMSS)
180506
10/10/ 10/10/ ATM SERVICE WITHDRAWAL 20000.00 2131.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0284
81406566/NA
TRANSFER TO
97215007810
10/10/ 10/10/ ATM SERVICE WITHDRAWAL 2000.00 131.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0284
87723033/NA
TRANSFER TO
97215007810
11/10/ 11/10/ ATM SERVICE BY TRANSFER 10.00 141.50CR
2020 2020 BRANCH UPI
TRANSFER/0285
58180067/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
11/10/ 11/10/ ATM SERVICE WITHDRAWAL 128.50 13.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0285
92660875/Oid119
73112818@Payt
m Goo
TRANSFER TO
97215007810
12/10/ 12/10/ NAMAKKAL ONUS BNA DEP 6000.00 6013.00CR
2020 2020 SEQ NO 8196
ATM ID
S1C002001
TRAN DATE
(MMDD) 1012
TRAN TIME
(HHMMSS)
091021
12/10/ 12/10/ CORE BANKING BY TRANSFER 7300.00 13313.00CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14003132
TRANSFER
FROM
6468896249
12/10/ 12/10/ ATM SERVICE WITHDRAWAL 7300.00 6013.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0286
08651850/NA
TRANSFER TO
97215007810
14/10/ 14/10/ CORE BANKING BY TRANSFER 16000.00 22013.00CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14003132
TRANSFER
FROM
6468896249 Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 10

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
14/10/ 14/10/ ATM SERVICE WITHDRAWAL 16000.00 6013.00CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02881
1471470/062923
070007830/SYN
B/Deposi
TRANSFER TO
97158007813
15/10/ 15/10/ ELACHIPALAYA ATM WDL ATM 300.00 5713.00CR
2020 2020 M WDL SEQ NO
028909018241
ATM ID
1RDDNMK0
TRAN DATE
(MMDD) 1015
TRAN TIME
(HHMMSS)
090940
16/10/ 16/10/ NAMAKKAL ONUS BNA DEP 2000.00 7713.00CR
2020 2020 SEQ NO 166
ATM ID
S1C002001
TRAN DATE
(MMDD) 1015
TRAN TIME
(HHMMSS)
211832
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 600.00 7113.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0289
72255616/NA
TRANSFER TO
97215007810
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 500.00 6613.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0289
72292519/NA
TRANSFER TO
97215007810
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 5000.00 1613.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0289
72304208/NA
TRANSFER TO
97215007810
16/10/ 16/10/ ATM SERVICE BY TRANSFER 7000.00 8613.00CR
2020 2020 BRANCH /IMPS/P2A/02892
2305649/Gjuu
TRANSFER
FROM
97157007814
16/10/ 16/10/ ATM SERVICE BY TRANSFER 500.00 9113.00CR
2020 2020 BRANCH UPI
TRANSFER/0289
24938955/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 8970.00 143.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0289
72754125/NA
TRANSFER TO
97215007810
16/10/ 16/10/ CORE BANKING BY TRANSFER 13300.00 13443.00CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14001063
TRANSFER
FROM
6175017308

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 11

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 13300.00 143.00CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02901
0621770/062923
070007830/SYN
B/Deposi
TRANSFER TO
97158007813
16/10/ 16/10/ NAMAKKAL ONUS BNA DEP 6000.00 6143.00CR
2020 2020 SEQ NO 323
ATM ID
S1C002001
TRAN DATE
(MMDD) 1016
TRAN TIME
(HHMMSS)
111016
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 6000.00 143.00CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02901
1625649/062923
070007830/SYN
B/Deposi
TRANSFER TO
97158007813
17/10/ 17/10/ CORE BANKING BY TRANSFER 12000.00 12143.00CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14002638
TRANSFER
FROM
6363460869
17/10/ 17/10/ ATM SERVICE WITHDRAWAL 11000.00 1143.00CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02911
1697827/062923
070007830/SYN
B/Deposi
TRANSFER TO
97158007813
19/10/ 19/10/ ATM SERVICE WITHDRAWAL 379.00 764.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0293
09949742/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
19/10/ 19/10/ NAMAKKAL ONUS BNA DEP 2500.00 3264.00CR
2020 2020 SEQ NO 1977
ATM ID
S1C002001
TRAN DATE
(MMDD) 1019
TRAN TIME
(HHMMSS)
211302
20/10/ 20/10/ ELACHIPALAYA E COM PUR 1100.00 2164.00CR
2020 2020 M ECOM TX SEQ
NO
029415835783
TERMINAL ID
17792000 DATE
(MMDD) 1020
TIME
(HHMMSS)
153047
20/10/ 20/10/ ELACHIPALAYA E COM PUR 1000.00 1164.00CR
2020 2020 M ECOM TX SEQ
NO
029416836432
TERMINAL ID
17792000 DATE
(MMDD) 1020
TIME
(HHMMSS)
161312
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 12

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
20/10/ 20/10/ ELACHIPALAYA ATM WDL ATM 500.00 664.00CR
2020 2020 M WDL SEQ NO
029418996861
ATM ID
CD117001 TRAN
DATE (MMDD)
1020 TRAN
TIME
(HHMMSS)
184342
21/10/ 21/10/ ATM SERVICE WITHDRAWAL 400.00 264.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0295
63154643/NA
TRANSFER TO
97215007810
22/10/ 22/10/ ATM SERVICE WITHDRAWAL 165.00 99.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0295
23221220/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
22/10/ 22/10/ ATM SERVICE WITHDRAWAL 70.00 29.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0296
85856834/NA
TRANSFER TO
97215007810
22/10/ 22/10/ ATM SERVICE BY TRANSFER 600.00 629.00CR
2020 2020 BRANCH UPI
TRANSFER/0296
18076947/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
22/10/ 22/10/ ELACHIPALAYA ATM WDL ATM 600.00 29.00CR
2020 2020 M WDL SEQ NO
029617005087
ATM ID
S1CNR770
TRAN DATE
(MMDD) 1022
TRAN TIME
(HHMMSS)
174306
23/10/ 23/10/ ATM SERVICE BY TRANSFER 200.00 229.00CR
2020 2020 BRANCH UPI
TRANSFER/0297
26491325/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
23/10/ 23/10/ ELACHIPALAYA ATM WDL ATM 200.00 29.00CR
2020 2020 M WDL SEQ NO
029709005229
ATM ID
S1CNR770
TRAN DATE
(MMDD) 1023
TRAN TIME
(HHMMSS)
091813
23/10/ 23/10/ ATM SERVICE BY TRANSFER 200.00 229.00CR
2020 2020 BRANCH UPI
TRANSFER/0297
74232440/Payme
nt from PhonePe
TRANSFER
FROM
97216007819

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 13

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
23/10/ 23/10/ ATM SERVICE WITHDRAWAL 51.00 178.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0297
08164346/Oid120
48302935@Payt
m Rec
TRANSFER TO
97215007810
25/10/ 25/10/ ATM SERVICE BY TRANSFER 1.00 179.00CR
2020 2020 BRANCH UPI
TRANSFER/0299
21644856/UPI
TRANSFER
FROM
97216007819
25/10/ 25/10/ ATM SERVICE BY TRANSFER 4000.00 4179.00CR
2020 2020 BRANCH UPI
TRANSFER/0299
21663896/Hl
TRANSFER
FROM
97216007819
26/10/ 26/10/ ELACHIPALAYA ATM WDL ATM 500.00 3679.00CR
2020 2020 M WDL SEQ NO
030006332623
ATM ID
CCB8022 TRAN
DATE (MMDD)
1026 TRAN
TIME
(HHMMSS)
064534
26/10/ 26/10/ ATM SERVICE CREDIT UPI 400.00 4079.00CR
2020 2020 BRANCH TCC
029782213138
23 OCT 20
27/10/ 27/10/ ATM SERVICE WITHDRAWAL 1000.00 3079.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0301
72111511/NA
TRANSFER TO
97215007810
28/10/ 28/10/ ATM SERVICE WITHDRAWAL 98.00 2981.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0302
78739319/Oid120
80050497@Payt
m Air
TRANSFER TO
97215007810
28/10/ 28/10/ ATM SERVICE WITHDRAWAL 1000.00 1981.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0302
81888324/Thirup
athi HL
TRANSFER TO
97215007810
29/10/ 29/10/ NAMAKKAL ONUS BNA DEP 9900.00 11881.00CR
2020 2020 SEQ NO 6378
ATM ID
S1C002001
TRAN DATE
(MMDD) 1028
TRAN TIME
(HHMMSS)
221420
29/10/ 29/10/ NAMAKKAL ONUS BNA DEP 500.00 12381.00CR
2020 2020 SEQ NO 6380
ATM ID
S1C002001
TRAN DATE
(MMDD) 1028
TRAN TIME
(HHMMSS)
221544
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 14

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
29/10/ 29/10/ ATM SERVICE WITHDRAWAL 10400.00 1981.00CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/03022
3458493/062923
070007830/SYN
B/Deposi
TRANSFER TO
97158007813
30/10/ 30/10/ ATM SERVICE WITHDRAWAL 400.00 1581.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0304
24862656/NA
TRANSFER TO
97215007810
30/10/ 30/10/ ATM SERVICE WITHDRAWAL 100.00 1481.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0304
19218662/UPI
TRANSFER TO
97215007810
31/10/ 31/10/ ATM SERVICE WITHDRAWAL 1000.00 481.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0305
19419003/Thank
s manoj
TRANSFER TO
97215007810
02/11/ 02/11/ ATM SERVICE WITHDRAWAL 200.00 281.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0307
11050604/UPI
TRANSFER TO
97215007810
03/11/ 03/11/ CORE BANKING BY TRANSFER 3300.00 3581.00CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14004261
TRANSFER
FROM
6777385798
03/11/ 03/11/ ATM SERVICE BY TRANSFER 30.00 3611.00CR
2020 2020 BRANCH UPI
TRANSFER/0308
19790451/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
03/11/ 03/11/ ATM SERVICE WITHDRAWAL 3600.00 11.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0308
10094035/Bike
due TRANSFER
TO 97215007810
03/11/ 03/11/ ATM SERVICE BY TRANSFER 200.00 211.00CR
2020 2020 BRANCH UPI
TRANSFER/0308
56720862/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
03/11/ 03/11/ ATM SERVICE WITHDRAWAL 147.70 63.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0308
14899955/NA
TRANSFER TO
97215007810
04/11/ 04/11/ NAMAKKAL ONUS BNA DEP 2100.00 2163.30CR
2020 2020 SEQ NO 9389
ATM ID
S1C002001
TRAN DATE
(MMDD) 1104
TRAN TIME
(HHMMSS)
090856 Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 15

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
05/11/ 05/11/ ATM SERVICE BY TRANSFER 1900.00 4063.30CR
2020 2020 BRANCH UPI
TRANSFER/0310
11416057/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
05/11/ 05/11/ ATM SERVICE WITHDRAWAL 3000.00 1063.30CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/03100
7010969/091909
5589223/PYTM/N
A TRANSFER
TO 97158007813
05/11/ 05/11/ CORE BANKING BY TRANSFER 3000.00 4063.30CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14001063
TRANSFER
FROM
6175017308
05/11/ 05/11/ ATM SERVICE WITHDRAWAL 3000.00 1063.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0310
13034773/Accou
nt transfer
TRANSFER TO
97215007810
05/11/ 05/11/ ATM SERVICE WITHDRAWAL 1000.00 63.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0310
16027337/UPI
TRANSFER TO
97215007810
09/11/ 09/11/ ATM SERVICE BY TRANSFER 1200.00 1263.30CR
2020 2020 BRANCH UPI
TRANSFER/0314
80869659/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
09/11/ 09/11/ ATM SERVICE WITHDRAWAL 1200.00 63.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0314
17764748/UPI
TRANSFER TO
97215007810
09/11/ 09/11/ MUMBAI FORT C/AC FEES 2000.00 2063.30CR
2020 2020 SARAVANAN S
N3142000686607
49 TRANSFER
FROM
97165000127
11/11/ 11/11/ ATM SERVICE WITHDRAWAL 1544.00 519.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0316
13191572/UPI
TRANSFER TO
97215007810
13/11/ 13/11/ ATM SERVICE BY TRANSFER 2500.00 3019.30CR
2020 2020 BRANCH UPI
TRANSFER/0318
10074794/UPI
TRANSFER
FROM
97216007819
13/11/ 13/11/ ATM SERVICE WITHDRAWAL 2500.00 519.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0318
10276378/UPI
TRANSFER TO
97215007810

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 16

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
14/11/ 14/11/ ATM SERVICE WITHDRAWAL 10.00 509.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0319
06080077/merch
TRANSFER TO
97215007810
14/11/ 14/11/ ATM SERVICE BY TRANSFER 399.00 908.30CR
2020 2020 BRANCH UPI
TRANSFER/0319
08345072/UPI
TRANSFER
FROM
97216007819
14/11/ 14/11/ ATM SERVICE WITHDRAWAL 399.00 509.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0319
08251066/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
14/11/ 14/11/ ATM SERVICE WITHDRAWAL 149.00 360.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0319
15277491/UPI
TRANSFER TO
97215007810
15/11/ 15/11/ ATM SERVICE WITHDRAWAL 2.00 358.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0319
23904859/UPI
TRANSFER TO
97215007810
15/11/ 15/11/ ATM SERVICE BY TRANSFER 800.00 1158.30CR
2020 2020 BRANCH UPI
TRANSFER/0320
47769454/NA
TRANSFER
FROM
97216007819
15/11/ 15/11/ ATM SERVICE WITHDRAWAL 568.11 590.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0320
07562245/NA
TRANSFER TO
97215007810
16/11/ 16/11/ ELACHIPALAYA ATM WDL ATM 200.00 390.19CR
2020 2020 M WDL SEQ NO
032109149024
ATM ID
A6292001 TRAN
DATE (MMDD)
1116 TRAN
TIME
(HHMMSS)
090257
16/11/ 16/11/ ATM SERVICE BY TRANSFER 200.00 590.19CR
2020 2020 BRANCH UPI
TRANSFER/0321
90208921/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
16/11/ 16/11/ ATM SERVICE WITHDRAWAL 500.00 90.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0321
09267587/UPI
TRANSFER TO
97215007810
16/11/ 16/11/ ATM SERVICE BY TRANSFER 7.00 97.19CR
2020 2020 BRANCH UPI
TRANSFER/0321
09737235/UPI
TRANSFER
FROM
97216007819 Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 17

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
17/11/ 17/11/ ATM SERVICE BY TRANSFER 349.00 446.19CR
2020 2020 BRANCH UPI
TRANSFER/0322
11403978/UPI
TRANSFER
FROM
97216007819
17/11/ 17/11/ ATM SERVICE WITHDRAWAL 346.00 100.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0322
11522641/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
18/11/ 18/11/ ATM SERVICE WITHDRAWAL 49.00 51.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0323
03289888/Oid121
83959948@Payt
m Air
TRANSFER TO
97215007810
19/11/ 19/11/ ATM SERVICE BY TRANSFER 50.00 101.19CR
2020 2020 BRANCH UPI
TRANSFER/0324
20550725/NA
TRANSFER
FROM
97216007819
19/11/ 19/11/ ATM SERVICE BY TRANSFER 1500.00 1601.19CR
2020 2020 BRANCH /IMPS/P2A/03241
2502130/vikky
TRANSFER
FROM
97157007814
19/11/ 19/11/ ATM SERVICE BY TRANSFER 1000.00 2601.19CR
2020 2020 BRANCH UPI
TRANSFER/0324
79714109/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
19/11/ 19/11/ ATM SERVICE WITHDRAWAL 2000.00 601.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0324
12395267/UPI
TRANSFER TO
97215007810
21/11/ 21/11/ ATM SERVICE BY TRANSFER 6.00 607.19CR
2020 2020 BRANCH UPI
TRANSFER/0326
03629545/UPI
TRANSFER
FROM
97216007819
21/11/ 21/11/ ATM SERVICE WITHDRAWAL 350.00 257.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0326
16244925/igiaviat
ionservices
TRANSFER TO
97215007810
22/11/ 22/11/ ATM SERVICE WITHDRAWAL 100.00 157.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0327
88039522/NA
TRANSFER TO
97215007810
22/11/ 22/11/ ATM SERVICE WITHDRAWAL 50.00 107.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0327
88134561/NA
TRANSFER TO
97215007810
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 18

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
22/11/ 22/11/ ATM SERVICE BY TRANSFER 50.00 157.19CR
2020 2020 BRANCH UPI
TRANSFER/0327
42439604/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
22/11/ 22/11/ ATM SERVICE BY TRANSFER 1500.00 1657.19CR
2020 2020 BRANCH /IMPS/P2A/03271
4199494/vikky
TRANSFER
FROM
97157007814
22/11/ 22/11/ ATM SERVICE WITHDRAWAL 1000.00 657.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0327
16334217/UPI
TRANSFER TO
97215007810
22/11/ 22/11/ ATM SERVICE BY TRANSFER 2.00 659.19CR
2020 2020 BRANCH UPI
TRANSFER/0327
16422811/UPI
TRANSFER
FROM
97216007819
22/11/ 22/11/ ATM SERVICE BY TRANSFER 3.00 662.19CR
2020 2020 BRANCH UPI
TRANSFER/0327
16427670/Rewar
ded for paying
TRANSFER
FROM
97216007819
22/11/ 22/11/ ATM SERVICE BY TRANSFER 1000.00 1662.19CR
2020 2020 BRANCH /IMPS/P2A/03271
8774554/trans
TRANSFER
FROM
97157007814
22/11/ 22/11/ ATM SERVICE WITHDRAWAL 1600.00 62.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0327
18072841/UPI
TRANSFER TO
97215007810
23/11/ 23/11/ NAMAKKAL ONUS BNA DEP 1000.00 1062.19CR
2020 2020 SEQ NO 5995
ATM ID
S1C002001
TRAN DATE
(MMDD) 1123
TRAN TIME
(HHMMSS)
085919
23/11/ 23/11/ ATM SERVICE WITHDRAWAL 1000.00 62.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0328
09338643/Trans
TRANSFER TO
97215007810
23/11/ 23/11/ CORE BANKING BY TRANSFER 1700.00 1762.19CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14003132
TRANSFER
FROM
6468896249
23/11/ 23/11/ ATM SERVICE BY TRANSFER 2500.00 4262.19CR
2020 2020 BRANCH UPI
TRANSFER/0328
13639335/Trans
TRANSFER
FROM
97216007819
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 19

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
23/11/ 23/11/ ATM SERVICE WITHDRAWAL 2500.00 1762.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0328
13930545/PASS
PORT
APPLICATION
FEE TRANSFER
TO 97215007810
23/11/ 23/11/ ATM SERVICE WITHDRAWAL 870.00 892.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0328
14232540/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
23/11/ 23/11/ ATM SERVICE WITHDRAWAL 1.00 891.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0328
18472858/Gj
TRANSFER TO
97215007810
23/11/ 23/11/ ATM SERVICE WITHDRAWAL 1.00 890.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0328
18107115/Vi
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 50.00 840.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
23350611/NA
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 1.00 839.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
01319206/Gu
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 1.00 838.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
01320214/UPI
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 1.00 837.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
01322845/UPI
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 10.00 827.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
01329128/Fh
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 1.00 826.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
09215537/Gt
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 100.00 726.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
13457626/Ch
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE BY TRANSFER 100.00 826.19CR
2020 2020 BRANCH UPI
TRANSFER/0329
67459954/Payme
nt from PhonePe
TRANSFER
FROM Digitally Signed by:
Name:Vignesh Senthilkumar
97216007819 Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 20

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 100.00 726.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
13083552/Dh
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE BY TRANSFER 100.00 826.19CR
2020 2020 BRANCH UPI
TRANSFER/0329
27824770/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 25.00 801.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
13167755/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 1.00 800.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
22702191/Td
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 1.00 799.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
22715381/Gu
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE BY TRANSFER 610.00 1409.19CR
2020 2020 BRANCH UPI
TRANSFER/0330
07415809/UPI
TRANSFER
FROM
97216007819
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 1.00 1408.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
08102253/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 200.00 1208.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
08128792/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 35.00 1173.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
08150294/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 158.00 1015.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
08158253/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 300.00 715.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
13492494/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 70.00 645.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
14012502/UPI
TRANSFER TO
97215007810
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 21

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 300.00 345.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
19374745/UPI
TRANSFER TO
97215007810
26/11/ 26/11/ ATM SERVICE WITHDRAWAL 98.00 247.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0331
01053653/UPI
TRANSFER TO
97215007810
26/11/ 26/11/ ATM SERVICE BY TRANSFER 6.00 253.19CR
2020 2020 BRANCH UPI
TRANSFER/0331
01293210/UPI
TRANSFER
FROM
97216007819

* Download Limit of 200 Transactions has been reached

* Statement Downloaded By S VIGNESH on Sun Nov 29 17:03:07 IST 2020

Unless a constituent notifies the Bank immediately of any discrepancy found by him/her in this statement of a/c, it will be taken that he has found
the a/c correct.

END OF STATEMENT - from Internet Banking.

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 1

INDIAN BANK
ELACHIPALAYAM
7/39 - B, Main Road Elachipalayam , Namakkal District Tamil Nadu , india
Branch Code :00781
Account Number : 6055266464
Product type : SB NONCHQ-GEN-PUB-SU/RURAL-INR
S VIGNESH
S/O SENTHILKUMAR
D NO 2/133 KILAPPALAYAM
KILAPPALAYAM(PO)
TIRUCHENGODE(TK) NAMAKKAL(DT)
Email : vignesh068790@gmail.com
Statement Date :Sun Nov 29 17:03:07 IST 2020
Cleared Balance :223.19
Uncleared Amount :0.00
Drawing Power :0.00
Interest Rate : 2.900

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
BALANCE B/F 3932.50CR
01/09/ 01/09/ ATM SERVICE BY TRANSFER 5.00 3937.50CR
2020 2020 BRANCH UPI
TRANSFER/0245
01369883/Rewar
ded for paying
TRANSFER
FROM
97216007819
01/09/ 01/09/ ELACHIPALAYA ATM WDL ATM 1000.00 2937.50CR
2020 2020 M WDL SEQ NO
024521332801
ATM ID
CCB8022 TRAN
DATE (MMDD)
0901 TRAN
TIME
(HHMMSS)
212011
02/09/ 02/09/ MICROSATE, ONUS ATM WDL 2000.00 937.50CR
2020 2020 RASIPURAM ATM WDL SEQ
NO 5849
ATM ID
S1C020361
TRAN DATE
(MMDD) 0902
TRAN TIME
(HHMMSS)
132302
03/09/ 03/09/ ELACHIPALAYA ATM WDL ATM 500.00 437.50CR
2020 2020 M WDL SEQ NO
024708332665
ATM ID
CCB8022 TRAN
DATE (MMDD)
0903 TRAN
TIME
(HHMMSS)
080814
06/09/ 06/09/ ATM SERVICE BY TRANSFER 500.00 937.50CR
2020 2020 BRANCH UPI
TRANSFER/0250
28534352/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 2

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
06/09/ 06/09/ ATM SERVICE WITHDRAWAL 13.00 924.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0250
19042018/UPI
TRANSFER TO
97215007810
06/09/ 06/09/ ATM SERVICE BY TRANSFER 400.00 1324.50CR
2020 2020 BRANCH UPI
TRANSFER/0250
76736954/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
06/09/ 06/09/ ATM SERVICE WITHDRAWAL 1225.00 99.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0250
20459430/Exam
fee TRANSFER
TO 97215007810
07/09/ 07/09/ ATM SERVICE CREDIT UPI 400.00 499.50CR
2020 2020 BRANCH TCC
025048160347
06/09/2020
08/09/ 08/09/ ATM SERVICE WITHDRAWAL 400.00 99.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0252
09452360/Gj
TRANSFER TO
97215007810
08/09/ 08/09/ ATM SERVICE WITHDRAWAL 49.00 50.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0252
10168866/UPI
TRANSFER TO
97215007810
09/09/ 09/09/ ATM SERVICE BY TRANSFER 70.00 120.50CR
2020 2020 BRANCH UPI
TRANSFER/0253
09331340/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
09/09/ 09/09/ ATM SERVICE WITHDRAWAL 57.00 63.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0253
09548512/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
11/09/ 11/09/ NAMAKKAL ONUS BNA DEP 33500.00 33563.50CR
2020 2020 SEQ NO 3519
ATM ID
S1C002001
TRAN DATE
(MMDD) 0911
TRAN TIME
(HHMMSS)
210141
12/09/ 12/09/ ATM SERVICE WITHDRAWAL 15000.00 18563.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0256
08112714/Transf
er TRANSFER
TO 97215007810
12/09/ 12/09/ ATM SERVICE WITHDRAWAL 18400.00 163.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0256
08115783/Transf
er TRANSFER
TO 97215007810

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 3

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
12/09/ 12/09/ ATM SERVICE WITHDRAWAL 150.00 13.50CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02561
1143664/091909
5589223/PYTM/v
h TRANSFER TO
97158007813
12/09/ 12/09/ ELACHIPALAYA E COM PUR 1.00 12.50CR
2020 2020 M ECOM TX SEQ
NO
025611222953
TERMINAL ID
00218060 DATE
(MMDD) 0912
TIME
(HHMMSS)
114747
13/09/ 13/09/ ATM SERVICE BY TRANSFER 2000.00 2012.50CR
2020 2020 BRANCH /IMPS/P2A/02571
0294104/vky
TRANSFER
FROM
97157007814
13/09/ 13/09/ ATM SERVICE WITHDRAWAL 1649.00 363.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0257
12214125/UPI
TRANSFER TO
97215007810
15/09/ 15/09/ ATM SERVICE BY TRANSFER 100.00 463.50CR
2020 2020 BRANCH UPI
TRANSFER/0258
62117820/NA
TRANSFER
FROM
97216007819
15/09/ 15/09/ ATM SERVICE WITHDRAWAL 100.00 363.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0258
62180460/NA
TRANSFER TO
97215007810
16/09/ 16/09/ ATM SERVICE WITHDRAWAL 200.00 163.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0260
12049718/Bb
TRANSFER TO
97215007810
16/09/ 16/09/ ATM SERVICE BY TRANSFER 500.00 663.50CR
2020 2020 BRANCH UPI
TRANSFER/0260
15442629/UPI
TRANSFER
FROM
97216007819
17/09/ 17/09/ ATM SERVICE WITHDRAWAL 100.00 563.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0260
23850791/UPI
TRANSFER TO
97215007810
17/09/ 17/09/ ATM SERVICE BY TRANSFER 100.00 663.50CR
2020 2020 BRANCH UPI REVERSAL
TRANSFER/0260
23850791/Remar
ks TRANSFER
FROM
97215007810
17/09/ 17/09/ ATM SERVICE WITHDRAWAL 500.00 163.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0261
98543147/NA
TRANSFER TO
97215007810

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 4

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
17/09/ 17/09/ ATM SERVICE BY TRANSFER 5.00 168.50CR
2020 2020 BRANCH UPI
TRANSFER/0261
98557040/Transf
erring Money o
TRANSFER
FROM
97216007819
17/09/ 17/09/ ATM SERVICE WITHDRAWAL 55.00 113.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0261
13850424/UPI
TRANSFER TO
97215007810
18/09/ 18/09/ ATM SERVICE BY TRANSFER 500.00 613.50CR
2020 2020 BRANCH UPI
TRANSFER/0262
10878706/NA
TRANSFER
FROM
97216007819
18/09/ 18/09/ ATM SERVICE WITHDRAWAL 500.00 113.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0262
11447567/NA
TRANSFER TO
97215007810
18/09/ 18/09/ CORE BANKING BY TRANSFER 4500.00 4613.50CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14004261
TRANSFER
FROM
6777385798
18/09/ 18/09/ ATM SERVICE WITHDRAWAL 922.00 3691.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0262
11776439/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
18/09/ 18/09/ ATM SERVICE WITHDRAWAL 149.00 3542.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0262
12275574/d4a66
d519171484e99d
dde61
TRANSFER TO
97215007810
18/09/ 18/09/ ATM SERVICE WITHDRAWAL 55.00 3487.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0262
14704965/UPI
TRANSFER TO
97215007810
18/09/ 18/09/ ELACHIPALAYA E COM PUR 2070.00 1417.50CR
2020 2020 M ECOM TX SEQ
NO
026214463765
TERMINAL ID
17792000 DATE
(MMDD) 0918
TIME
(HHMMSS)
142342
20/09/ 20/09/ ATM SERVICE WITHDRAWAL 1000.00 417.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0264
49550876/NA
TRANSFER TO
97215007810
20/09/ 20/09/ ATM SERVICE BY TRANSFER 1000.00 1417.50CR
2020 2020 BRANCH UPI
TRANSFER/0264
28314726/Payme
nt from PhonePe
TRANSFER Digitally Signed by:
Name:Vignesh Senthilkumar
FROM Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
97216007819
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 5

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
20/09/ 20/09/ ATM SERVICE WITHDRAWAL 48.00 1369.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0264
50257352/Oid118
48371937@Payt
m Rec
TRANSFER TO
97215007810
20/09/ 20/09/ ATM SERVICE WITHDRAWAL 500.00 869.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0264
50770279/NA
TRANSFER TO
97215007810
20/09/ 20/09/ ATM SERVICE BY TRANSFER 5.00 874.50CR
2020 2020 BRANCH UPI
TRANSFER/0264
50775747/Transf
erring Money o
TRANSFER
FROM
97216007819
20/09/ 20/09/ ATM SERVICE WITHDRAWAL 110.00 764.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0264
50827771/Oid118
45449357@Payt
m Uti
TRANSFER TO
97215007810
20/09/ 20/09/ ATM SERVICE WITHDRAWAL 501.00 263.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0264
50886466/Oid118
52200024@Add
Money
TRANSFER TO
97215007810
20/09/ 20/09/ ATM SERVICE BY TRANSFER 10.00 273.50CR
2020 2020 BRANCH UPI
TRANSFER/0264
50912160/Collect
ing all 4 Cri
TRANSFER
FROM
97216007819
20/09/ 20/09/ ATM SERVICE BY TRANSFER 500.00 773.50CR
2020 2020 BRANCH UPI
TRANSFER/0264
18222416/UPI
TRANSFER
FROM
97216007819
21/09/ 21/09/ NAMAKKAL ONUS BNA DEP 1500.00 2273.50CR
2020 2020 SEQ NO 8461
ATM ID
S1C002001
TRAN DATE
(MMDD) 0921
TRAN TIME
(HHMMSS)
084645
22/09/ 22/09/ NAMAKKAL ONUS BNA DEP 1000.00 3273.50CR
2020 2020 SEQ NO 9043
ATM ID
S1C002001
TRAN DATE
(MMDD) 0922
TRAN TIME
(HHMMSS)
083103
22/09/ 22/09/ ATM SERVICE WITHDRAWAL 1500.00 1773.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0266
10145368/UPI
TRANSFER TO Digitally Signed by:
97215007810 Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 6

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
22/09/ 22/09/ ATM SERVICE WITHDRAWAL 979.00 794.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0266
13308681/Vignes
h late payment
dis TRANSFER
TO 97215007810
22/09/ 22/09/ ELACHIPALAYA E COM PUR 10.00 784.50CR
2020 2020 M ECOM TX SEQ
NO
026619506963
TERMINAL ID
17792000 DATE
(MMDD) 0922
TIME
(HHMMSS)
195005
23/09/ 23/09/ ELACHIPALAYA ATM WDL ATM 500.00 284.50CR
2020 2020 M WDL SEQ NO
026717007710
ATM ID
S1CNR770
TRAN DATE
(MMDD) 0923
TRAN TIME
(HHMMSS)
175407
25/09/ 25/09/ CORE BANKING BY TRANSFER 20000.00 20284.50CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14002638
TRANSFER
FROM
6363460869
25/09/ 25/09/ ATM SERVICE WITHDRAWAL 20000.00 284.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0269
11800360/Chequ
e transfer
TRANSFER TO
97215007810
25/09/ 25/09/ ELACHIPALAYA ATM WDL ATM 200.00 84.50CR
2020 2020 M WDL SEQ NO
026914020329
ATM ID
2394EP01 TRAN
DATE (MMDD)
0925 TRAN
TIME
(HHMMSS)
141852
30/09/ 30/09/ ATM SERVICE BY TRANSFER 690.00 774.50CR
2020 2020 BRANCH /IMPS/P2A/02741
0804743/
TRANSFER
FROM
97157007814
30/09/ 30/09/ ATM SERVICE WITHDRAWAL 690.00 84.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0274
10117022/From
vinitha
TRANSFER TO
97215007810
30/09/ 30/09/ ATM SERVICE BY TRANSFER 500.00 584.50CR
2020 2020 BRANCH UPI
TRANSFER/0274
18321517/H
TRANSFER
FROM
97216007819
30/09/ 30/09/ ATM SERVICE WITHDRAWAL 500.00 84.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0274
18346866/UPI
TRANSFER TO
97215007810 Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 7

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
30/09/ 30/09/ ATM SERVICE BY TRANSFER 500.00 584.50CR
2020 2020 BRANCH /IMPS/P2A/02742
1966942/
TRANSFER
FROM
97157007814
30/09/ 30/09/ CREDIT 17.00 601.50CR
2020 2020 INTEREST

01/10/ 01/10/ NAMAKKAL ONUS BNA DEP 4000.00 4601.50CR


2020 2020 TOWN SEQ NO 8816
ATM ID
HIT026321 TRAN
DATE (MMDD)
1001 TRAN
TIME
(HHMMSS)
205333
02/10/ 02/10/ ATM SERVICE BY TRANSFER 4000.00 8601.50CR
2020 2020 BRANCH UPI
TRANSFER/0276
49439079/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
02/10/ 02/10/ ATM SERVICE WITHDRAWAL 8000.00 601.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0276
10280769/From
lifestyle
TRANSFER TO
97215007810
04/10/ 04/10/ NAMAKKAL ONUS BNA DEP 2000.00 2601.50CR
2020 2020 SEQ NO 4137
ATM ID
S1C002001
TRAN DATE
(MMDD) 1004
TRAN TIME
(HHMMSS)
091316
04/10/ 04/10/ ATM SERVICE BY TRANSFER 5000.00 7601.50CR
2020 2020 BRANCH UPI
TRANSFER/0278
07164553/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
04/10/ 04/10/ ATM SERVICE WITHDRAWAL 5000.00 2601.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0278
18264015/UPI
TRANSFER TO
97215007810
05/10/ 05/10/ ATM SERVICE WITHDRAWAL 500.00 2101.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0278
21114416/UPI
TRANSFER TO
97215007810
05/10/ 05/10/ ATM SERVICE WITHDRAWAL 628.00 1473.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0278
23878902/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
05/10/ 05/10/ ATM SERVICE WITHDRAWAL 95.00 1378.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0279
10302874/UPI
TRANSFER TO
97215007810
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 8

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
05/10/ 05/10/ ATM SERVICE WITHDRAWAL 500.00 878.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0279
20427742/UPI
TRANSFER TO
97215007810
05/10/ 05/10/ ATM SERVICE WITHDRAWAL 149.00 729.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0279
20684833/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
05/10/ 05/10/ ATM SERVICE BY TRANSFER 10.00 739.50CR
2020 2020 BRANCH UPI
TRANSFER/0279
21501003/Transf
er TRANSFER
FROM
97216007819
06/10/ 06/10/ ATM SERVICE WITHDRAWAL 300.00 439.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0279
22265618/UPI
TRANSFER TO
97215007810
07/10/ 07/10/ ATM SERVICE WITHDRAWAL 10.00 429.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0281
07375609/UPI
TRANSFER TO
97215007810
07/10/ 07/10/ NAMAKKAL ONUS BNA DEP 1500.00 1929.50CR
2020 2020 SEQ NO 5618
ATM ID
S1C002001
TRAN DATE
(MMDD) 1007
TRAN TIME
(HHMMSS)
085857
07/10/ 07/10/ ATM SERVICE WITHDRAWAL 1000.00 929.50CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02810
9896826/011701
55000115420/KV
BL/NA
TRANSFER TO
97158007813
07/10/ 07/10/ ATM SERVICE BY TRANSFER 300.00 1229.50CR
2020 2020 BRANCH UPI
TRANSFER/0281
91176671/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
07/10/ 07/10/ ATM SERVICE WITHDRAWAL 999.00 230.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0281
10980800/UPI
TRANSFER TO
97215007810
07/10/ 07/10/ ATM SERVICE BY TRANSFER 1.00 231.50CR
2020 2020 BRANCH UPI
TRANSFER/0281
14561253/UPI
TRANSFER
FROM
97216007819
08/10/ 08/10/ CORE BANKING BY TRANSFER 1000.00 1231.50CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14002638
TRANSFER
FROM
6363460869 Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 9

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
08/10/ 08/10/ ATM SERVICE WITHDRAWAL 1000.00 231.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0282
13198380/UPI
TRANSFER TO
97215007810
10/10/ 10/10/ ATM SERVICE WITHDRAWAL 100.00 131.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0284
78837940/NA
TRANSFER TO
97215007810
10/10/ 10/10/ NAMAKKAL ONUS BNA DEP 22000.00 22131.50CR
2020 2020 SEQ NO 7357
ATM ID
S1C002001
TRAN DATE
(MMDD) 1010
TRAN TIME
(HHMMSS)
180506
10/10/ 10/10/ ATM SERVICE WITHDRAWAL 20000.00 2131.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0284
81406566/NA
TRANSFER TO
97215007810
10/10/ 10/10/ ATM SERVICE WITHDRAWAL 2000.00 131.50CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0284
87723033/NA
TRANSFER TO
97215007810
11/10/ 11/10/ ATM SERVICE BY TRANSFER 10.00 141.50CR
2020 2020 BRANCH UPI
TRANSFER/0285
58180067/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
11/10/ 11/10/ ATM SERVICE WITHDRAWAL 128.50 13.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0285
92660875/Oid119
73112818@Payt
m Goo
TRANSFER TO
97215007810
12/10/ 12/10/ NAMAKKAL ONUS BNA DEP 6000.00 6013.00CR
2020 2020 SEQ NO 8196
ATM ID
S1C002001
TRAN DATE
(MMDD) 1012
TRAN TIME
(HHMMSS)
091021
12/10/ 12/10/ CORE BANKING BY TRANSFER 7300.00 13313.00CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14003132
TRANSFER
FROM
6468896249
12/10/ 12/10/ ATM SERVICE WITHDRAWAL 7300.00 6013.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0286
08651850/NA
TRANSFER TO
97215007810
14/10/ 14/10/ CORE BANKING BY TRANSFER 16000.00 22013.00CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14003132
TRANSFER
FROM
6468896249 Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 10

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
14/10/ 14/10/ ATM SERVICE WITHDRAWAL 16000.00 6013.00CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02881
1471470/062923
070007830/SYN
B/Deposi
TRANSFER TO
97158007813
15/10/ 15/10/ ELACHIPALAYA ATM WDL ATM 300.00 5713.00CR
2020 2020 M WDL SEQ NO
028909018241
ATM ID
1RDDNMK0
TRAN DATE
(MMDD) 1015
TRAN TIME
(HHMMSS)
090940
16/10/ 16/10/ NAMAKKAL ONUS BNA DEP 2000.00 7713.00CR
2020 2020 SEQ NO 166
ATM ID
S1C002001
TRAN DATE
(MMDD) 1015
TRAN TIME
(HHMMSS)
211832
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 600.00 7113.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0289
72255616/NA
TRANSFER TO
97215007810
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 500.00 6613.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0289
72292519/NA
TRANSFER TO
97215007810
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 5000.00 1613.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0289
72304208/NA
TRANSFER TO
97215007810
16/10/ 16/10/ ATM SERVICE BY TRANSFER 7000.00 8613.00CR
2020 2020 BRANCH /IMPS/P2A/02892
2305649/Gjuu
TRANSFER
FROM
97157007814
16/10/ 16/10/ ATM SERVICE BY TRANSFER 500.00 9113.00CR
2020 2020 BRANCH UPI
TRANSFER/0289
24938955/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 8970.00 143.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0289
72754125/NA
TRANSFER TO
97215007810
16/10/ 16/10/ CORE BANKING BY TRANSFER 13300.00 13443.00CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14001063
TRANSFER
FROM
6175017308

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 11

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 13300.00 143.00CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02901
0621770/062923
070007830/SYN
B/Deposi
TRANSFER TO
97158007813
16/10/ 16/10/ NAMAKKAL ONUS BNA DEP 6000.00 6143.00CR
2020 2020 SEQ NO 323
ATM ID
S1C002001
TRAN DATE
(MMDD) 1016
TRAN TIME
(HHMMSS)
111016
16/10/ 16/10/ ATM SERVICE WITHDRAWAL 6000.00 143.00CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02901
1625649/062923
070007830/SYN
B/Deposi
TRANSFER TO
97158007813
17/10/ 17/10/ CORE BANKING BY TRANSFER 12000.00 12143.00CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14002638
TRANSFER
FROM
6363460869
17/10/ 17/10/ ATM SERVICE WITHDRAWAL 11000.00 1143.00CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/02911
1697827/062923
070007830/SYN
B/Deposi
TRANSFER TO
97158007813
19/10/ 19/10/ ATM SERVICE WITHDRAWAL 379.00 764.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0293
09949742/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
19/10/ 19/10/ NAMAKKAL ONUS BNA DEP 2500.00 3264.00CR
2020 2020 SEQ NO 1977
ATM ID
S1C002001
TRAN DATE
(MMDD) 1019
TRAN TIME
(HHMMSS)
211302
20/10/ 20/10/ ELACHIPALAYA E COM PUR 1100.00 2164.00CR
2020 2020 M ECOM TX SEQ
NO
029415835783
TERMINAL ID
17792000 DATE
(MMDD) 1020
TIME
(HHMMSS)
153047
20/10/ 20/10/ ELACHIPALAYA E COM PUR 1000.00 1164.00CR
2020 2020 M ECOM TX SEQ
NO
029416836432
TERMINAL ID
17792000 DATE
(MMDD) 1020
TIME
(HHMMSS)
161312
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 12

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
20/10/ 20/10/ ELACHIPALAYA ATM WDL ATM 500.00 664.00CR
2020 2020 M WDL SEQ NO
029418996861
ATM ID
CD117001 TRAN
DATE (MMDD)
1020 TRAN
TIME
(HHMMSS)
184342
21/10/ 21/10/ ATM SERVICE WITHDRAWAL 400.00 264.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0295
63154643/NA
TRANSFER TO
97215007810
22/10/ 22/10/ ATM SERVICE WITHDRAWAL 165.00 99.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0295
23221220/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
22/10/ 22/10/ ATM SERVICE WITHDRAWAL 70.00 29.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0296
85856834/NA
TRANSFER TO
97215007810
22/10/ 22/10/ ATM SERVICE BY TRANSFER 600.00 629.00CR
2020 2020 BRANCH UPI
TRANSFER/0296
18076947/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
22/10/ 22/10/ ELACHIPALAYA ATM WDL ATM 600.00 29.00CR
2020 2020 M WDL SEQ NO
029617005087
ATM ID
S1CNR770
TRAN DATE
(MMDD) 1022
TRAN TIME
(HHMMSS)
174306
23/10/ 23/10/ ATM SERVICE BY TRANSFER 200.00 229.00CR
2020 2020 BRANCH UPI
TRANSFER/0297
26491325/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
23/10/ 23/10/ ELACHIPALAYA ATM WDL ATM 200.00 29.00CR
2020 2020 M WDL SEQ NO
029709005229
ATM ID
S1CNR770
TRAN DATE
(MMDD) 1023
TRAN TIME
(HHMMSS)
091813
23/10/ 23/10/ ATM SERVICE BY TRANSFER 200.00 229.00CR
2020 2020 BRANCH UPI
TRANSFER/0297
74232440/Payme
nt from PhonePe
TRANSFER
FROM
97216007819

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 13

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
23/10/ 23/10/ ATM SERVICE WITHDRAWAL 51.00 178.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0297
08164346/Oid120
48302935@Payt
m Rec
TRANSFER TO
97215007810
25/10/ 25/10/ ATM SERVICE BY TRANSFER 1.00 179.00CR
2020 2020 BRANCH UPI
TRANSFER/0299
21644856/UPI
TRANSFER
FROM
97216007819
25/10/ 25/10/ ATM SERVICE BY TRANSFER 4000.00 4179.00CR
2020 2020 BRANCH UPI
TRANSFER/0299
21663896/Hl
TRANSFER
FROM
97216007819
26/10/ 26/10/ ELACHIPALAYA ATM WDL ATM 500.00 3679.00CR
2020 2020 M WDL SEQ NO
030006332623
ATM ID
CCB8022 TRAN
DATE (MMDD)
1026 TRAN
TIME
(HHMMSS)
064534
26/10/ 26/10/ ATM SERVICE CREDIT UPI 400.00 4079.00CR
2020 2020 BRANCH TCC
029782213138
23 OCT 20
27/10/ 27/10/ ATM SERVICE WITHDRAWAL 1000.00 3079.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0301
72111511/NA
TRANSFER TO
97215007810
28/10/ 28/10/ ATM SERVICE WITHDRAWAL 98.00 2981.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0302
78739319/Oid120
80050497@Payt
m Air
TRANSFER TO
97215007810
28/10/ 28/10/ ATM SERVICE WITHDRAWAL 1000.00 1981.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0302
81888324/Thirup
athi HL
TRANSFER TO
97215007810
29/10/ 29/10/ NAMAKKAL ONUS BNA DEP 9900.00 11881.00CR
2020 2020 SEQ NO 6378
ATM ID
S1C002001
TRAN DATE
(MMDD) 1028
TRAN TIME
(HHMMSS)
221420
29/10/ 29/10/ NAMAKKAL ONUS BNA DEP 500.00 12381.00CR
2020 2020 SEQ NO 6380
ATM ID
S1C002001
TRAN DATE
(MMDD) 1028
TRAN TIME
(HHMMSS)
221544
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 14

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
29/10/ 29/10/ ATM SERVICE WITHDRAWAL 10400.00 1981.00CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/03022
3458493/062923
070007830/SYN
B/Deposi
TRANSFER TO
97158007813
30/10/ 30/10/ ATM SERVICE WITHDRAWAL 400.00 1581.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0304
24862656/NA
TRANSFER TO
97215007810
30/10/ 30/10/ ATM SERVICE WITHDRAWAL 100.00 1481.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0304
19218662/UPI
TRANSFER TO
97215007810
31/10/ 31/10/ ATM SERVICE WITHDRAWAL 1000.00 481.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0305
19419003/Thank
s manoj
TRANSFER TO
97215007810
02/11/ 02/11/ ATM SERVICE WITHDRAWAL 200.00 281.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0307
11050604/UPI
TRANSFER TO
97215007810
03/11/ 03/11/ CORE BANKING BY TRANSFER 3300.00 3581.00CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14004261
TRANSFER
FROM
6777385798
03/11/ 03/11/ ATM SERVICE BY TRANSFER 30.00 3611.00CR
2020 2020 BRANCH UPI
TRANSFER/0308
19790451/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
03/11/ 03/11/ ATM SERVICE WITHDRAWAL 3600.00 11.00CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0308
10094035/Bike
due TRANSFER
TO 97215007810
03/11/ 03/11/ ATM SERVICE BY TRANSFER 200.00 211.00CR
2020 2020 BRANCH UPI
TRANSFER/0308
56720862/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
03/11/ 03/11/ ATM SERVICE WITHDRAWAL 147.70 63.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0308
14899955/NA
TRANSFER TO
97215007810
04/11/ 04/11/ NAMAKKAL ONUS BNA DEP 2100.00 2163.30CR
2020 2020 SEQ NO 9389
ATM ID
S1C002001
TRAN DATE
(MMDD) 1104
TRAN TIME
(HHMMSS)
090856 Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 15

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
05/11/ 05/11/ ATM SERVICE BY TRANSFER 1900.00 4063.30CR
2020 2020 BRANCH UPI
TRANSFER/0310
11416057/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
05/11/ 05/11/ ATM SERVICE WITHDRAWAL 3000.00 1063.30CR
2020 2020 BRANCH TRANSFER
/IMPS/P2A/03100
7010969/091909
5589223/PYTM/N
A TRANSFER
TO 97158007813
05/11/ 05/11/ CORE BANKING BY TRANSFER 3000.00 4063.30CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14001063
TRANSFER
FROM
6175017308
05/11/ 05/11/ ATM SERVICE WITHDRAWAL 3000.00 1063.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0310
13034773/Accou
nt transfer
TRANSFER TO
97215007810
05/11/ 05/11/ ATM SERVICE WITHDRAWAL 1000.00 63.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0310
16027337/UPI
TRANSFER TO
97215007810
09/11/ 09/11/ ATM SERVICE BY TRANSFER 1200.00 1263.30CR
2020 2020 BRANCH UPI
TRANSFER/0314
80869659/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
09/11/ 09/11/ ATM SERVICE WITHDRAWAL 1200.00 63.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0314
17764748/UPI
TRANSFER TO
97215007810
09/11/ 09/11/ MUMBAI FORT C/AC FEES 2000.00 2063.30CR
2020 2020 SARAVANAN S
N3142000686607
49 TRANSFER
FROM
97165000127
11/11/ 11/11/ ATM SERVICE WITHDRAWAL 1544.00 519.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0316
13191572/UPI
TRANSFER TO
97215007810
13/11/ 13/11/ ATM SERVICE BY TRANSFER 2500.00 3019.30CR
2020 2020 BRANCH UPI
TRANSFER/0318
10074794/UPI
TRANSFER
FROM
97216007819
13/11/ 13/11/ ATM SERVICE WITHDRAWAL 2500.00 519.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0318
10276378/UPI
TRANSFER TO
97215007810

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 16

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
14/11/ 14/11/ ATM SERVICE WITHDRAWAL 10.00 509.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0319
06080077/merch
TRANSFER TO
97215007810
14/11/ 14/11/ ATM SERVICE BY TRANSFER 399.00 908.30CR
2020 2020 BRANCH UPI
TRANSFER/0319
08345072/UPI
TRANSFER
FROM
97216007819
14/11/ 14/11/ ATM SERVICE WITHDRAWAL 399.00 509.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0319
08251066/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
14/11/ 14/11/ ATM SERVICE WITHDRAWAL 149.00 360.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0319
15277491/UPI
TRANSFER TO
97215007810
15/11/ 15/11/ ATM SERVICE WITHDRAWAL 2.00 358.30CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0319
23904859/UPI
TRANSFER TO
97215007810
15/11/ 15/11/ ATM SERVICE BY TRANSFER 800.00 1158.30CR
2020 2020 BRANCH UPI
TRANSFER/0320
47769454/NA
TRANSFER
FROM
97216007819
15/11/ 15/11/ ATM SERVICE WITHDRAWAL 568.11 590.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0320
07562245/NA
TRANSFER TO
97215007810
16/11/ 16/11/ ELACHIPALAYA ATM WDL ATM 200.00 390.19CR
2020 2020 M WDL SEQ NO
032109149024
ATM ID
A6292001 TRAN
DATE (MMDD)
1116 TRAN
TIME
(HHMMSS)
090257
16/11/ 16/11/ ATM SERVICE BY TRANSFER 200.00 590.19CR
2020 2020 BRANCH UPI
TRANSFER/0321
90208921/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
16/11/ 16/11/ ATM SERVICE WITHDRAWAL 500.00 90.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0321
09267587/UPI
TRANSFER TO
97215007810
16/11/ 16/11/ ATM SERVICE BY TRANSFER 7.00 97.19CR
2020 2020 BRANCH UPI
TRANSFER/0321
09737235/UPI
TRANSFER
FROM
97216007819 Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 17

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
17/11/ 17/11/ ATM SERVICE BY TRANSFER 349.00 446.19CR
2020 2020 BRANCH UPI
TRANSFER/0322
11403978/UPI
TRANSFER
FROM
97216007819
17/11/ 17/11/ ATM SERVICE WITHDRAWAL 346.00 100.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0322
11522641/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
18/11/ 18/11/ ATM SERVICE WITHDRAWAL 49.00 51.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0323
03289888/Oid121
83959948@Payt
m Air
TRANSFER TO
97215007810
19/11/ 19/11/ ATM SERVICE BY TRANSFER 50.00 101.19CR
2020 2020 BRANCH UPI
TRANSFER/0324
20550725/NA
TRANSFER
FROM
97216007819
19/11/ 19/11/ ATM SERVICE BY TRANSFER 1500.00 1601.19CR
2020 2020 BRANCH /IMPS/P2A/03241
2502130/vikky
TRANSFER
FROM
97157007814
19/11/ 19/11/ ATM SERVICE BY TRANSFER 1000.00 2601.19CR
2020 2020 BRANCH UPI
TRANSFER/0324
79714109/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
19/11/ 19/11/ ATM SERVICE WITHDRAWAL 2000.00 601.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0324
12395267/UPI
TRANSFER TO
97215007810
21/11/ 21/11/ ATM SERVICE BY TRANSFER 6.00 607.19CR
2020 2020 BRANCH UPI
TRANSFER/0326
03629545/UPI
TRANSFER
FROM
97216007819
21/11/ 21/11/ ATM SERVICE WITHDRAWAL 350.00 257.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0326
16244925/igiaviat
ionservices
TRANSFER TO
97215007810
22/11/ 22/11/ ATM SERVICE WITHDRAWAL 100.00 157.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0327
88039522/NA
TRANSFER TO
97215007810
22/11/ 22/11/ ATM SERVICE WITHDRAWAL 50.00 107.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0327
88134561/NA
TRANSFER TO
97215007810
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 18

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
22/11/ 22/11/ ATM SERVICE BY TRANSFER 50.00 157.19CR
2020 2020 BRANCH UPI
TRANSFER/0327
42439604/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
22/11/ 22/11/ ATM SERVICE BY TRANSFER 1500.00 1657.19CR
2020 2020 BRANCH /IMPS/P2A/03271
4199494/vikky
TRANSFER
FROM
97157007814
22/11/ 22/11/ ATM SERVICE WITHDRAWAL 1000.00 657.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0327
16334217/UPI
TRANSFER TO
97215007810
22/11/ 22/11/ ATM SERVICE BY TRANSFER 2.00 659.19CR
2020 2020 BRANCH UPI
TRANSFER/0327
16422811/UPI
TRANSFER
FROM
97216007819
22/11/ 22/11/ ATM SERVICE BY TRANSFER 3.00 662.19CR
2020 2020 BRANCH UPI
TRANSFER/0327
16427670/Rewar
ded for paying
TRANSFER
FROM
97216007819
22/11/ 22/11/ ATM SERVICE BY TRANSFER 1000.00 1662.19CR
2020 2020 BRANCH /IMPS/P2A/03271
8774554/trans
TRANSFER
FROM
97157007814
22/11/ 22/11/ ATM SERVICE WITHDRAWAL 1600.00 62.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0327
18072841/UPI
TRANSFER TO
97215007810
23/11/ 23/11/ NAMAKKAL ONUS BNA DEP 1000.00 1062.19CR
2020 2020 SEQ NO 5995
ATM ID
S1C002001
TRAN DATE
(MMDD) 1123
TRAN TIME
(HHMMSS)
085919
23/11/ 23/11/ ATM SERVICE WITHDRAWAL 1000.00 62.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0328
09338643/Trans
TRANSFER TO
97215007810
23/11/ 23/11/ CORE BANKING BY TRANSFER 1700.00 1762.19CR
2020 2020 DATA CENTRE /POS/CHS
DEP/14003132
TRANSFER
FROM
6468896249
23/11/ 23/11/ ATM SERVICE BY TRANSFER 2500.00 4262.19CR
2020 2020 BRANCH UPI
TRANSFER/0328
13639335/Trans
TRANSFER
FROM
97216007819
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 19

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
23/11/ 23/11/ ATM SERVICE WITHDRAWAL 2500.00 1762.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0328
13930545/PASS
PORT
APPLICATION
FEE TRANSFER
TO 97215007810
23/11/ 23/11/ ATM SERVICE WITHDRAWAL 870.00 892.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0328
14232540/Reque
st from Amazon
Pay TRANSFER
TO 97215007810
23/11/ 23/11/ ATM SERVICE WITHDRAWAL 1.00 891.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0328
18472858/Gj
TRANSFER TO
97215007810
23/11/ 23/11/ ATM SERVICE WITHDRAWAL 1.00 890.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0328
18107115/Vi
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 50.00 840.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
23350611/NA
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 1.00 839.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
01319206/Gu
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 1.00 838.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
01320214/UPI
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 1.00 837.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
01322845/UPI
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 10.00 827.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
01329128/Fh
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 1.00 826.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
09215537/Gt
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 100.00 726.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
13457626/Ch
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE BY TRANSFER 100.00 826.19CR
2020 2020 BRANCH UPI
TRANSFER/0329
67459954/Payme
nt from PhonePe
TRANSFER
FROM Digitally Signed by:
Name:Vignesh Senthilkumar
97216007819 Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 20

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 100.00 726.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
13083552/Dh
TRANSFER TO
97215007810
24/11/ 24/11/ ATM SERVICE BY TRANSFER 100.00 826.19CR
2020 2020 BRANCH UPI
TRANSFER/0329
27824770/Payme
nt from PhonePe
TRANSFER
FROM
97216007819
24/11/ 24/11/ ATM SERVICE WITHDRAWAL 25.00 801.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
13167755/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 1.00 800.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
22702191/Td
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 1.00 799.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0329
22715381/Gu
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE BY TRANSFER 610.00 1409.19CR
2020 2020 BRANCH UPI
TRANSFER/0330
07415809/UPI
TRANSFER
FROM
97216007819
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 1.00 1408.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
08102253/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 200.00 1208.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
08128792/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 35.00 1173.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
08150294/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 158.00 1015.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
08158253/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 300.00 715.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
13492494/UPI
TRANSFER TO
97215007810
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 70.00 645.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
14012502/UPI
TRANSFER TO
97215007810
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
STATEMENT OF ACCOUNT from 01/09/2020 to 29/11/2020 for Account Number 6055266464. Page No: 21

Value Post Remitter Description Chequ DR CR Balance


Date Date Branch e No
25/11/ 25/11/ ATM SERVICE WITHDRAWAL 300.00 345.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0330
19374745/UPI
TRANSFER TO
97215007810
26/11/ 26/11/ ATM SERVICE WITHDRAWAL 98.00 247.19CR
2020 2020 BRANCH TRANSFER UPI
TRANSFER/0331
01053653/UPI
TRANSFER TO
97215007810
26/11/ 26/11/ ATM SERVICE BY TRANSFER 6.00 253.19CR
2020 2020 BRANCH UPI
TRANSFER/0331
01293210/UPI
TRANSFER
FROM
97216007819

* Download Limit of 200 Transactions has been reached

* Statement Downloaded By S VIGNESH on Sun Nov 29 17:03:07 IST 2020

Unless a constituent notifies the Bank immediately of any discrepancy found by him/her in this statement of a/c, it will be taken that he has found
the a/c correct.

END OF STATEMENT - from Internet Banking.

Digitally Signed by:


Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022
Digitally Signed by:
Name:Vignesh Senthilkumar
Reason:Account Opening
Date:Wed Sep 28 22:11:14 IST 2022

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