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Page 1 of 5 M-76543125-1

018627/76543125-1/1-5/RESGB/05-23
Your Base Branch : BHILAI BRANCH, PLOT NO.
35-37, COMMERCIAL CUM-RESIDENTIAL
COMPLEX, NEHRU NAGAR (EAST) DISTRICT
MR.SANJEEV KUMAR DURG 490020
HANUMAN NAGAR BARBIGHA,BARBIGHA,
SHEIKHPURA BIHAR
BARBIGHA
: Visit www.icicibank.com
BIHAR - INDIA - 811101 Å Dial your Bank 1860 120 7777

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

STATEMENT SUMMARY for Customer ID : XXXXX6023 as on April 30, 2022

ACCOUNT DETAILS - INR


ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX7668 21,397.17 0.00 21,397.17 Registered

TOTAL 21,397.17 0.00 21,397.17

Statement of Transactions in Savings Account XXXXXXXX7668 in INR for the period April 01, 2022 - April 30, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


01-04-2022 B/F 5,074.97
UPI/209168333261/UPI/DUMMY NAME/Kotak Mahindra
02-04-2022 1,000.00 4,074.97
/ICI1535ab0c10b3454fb1623039896f3c45/
UPI/209109928605/UPI/shrikant00912@o/ICICI
02-04-2022 1,000.00 5,074.97
Bank/ICIeab6a240c94b456d9d44a5872ad6b5e3
UPI/209159144630/UPI/angelnse@hdfcba/HDFC BANK
02-04-2022 4,000.00 1,074.97
LTD/F320045276059/
UPI/209274577284/UPI/paytmqr28100505/Paytm Payments
02-04-2022 60.00 1,014.97
/ICIe1e1ee3e92b04a218d2a30e5a61b06ec/
UPI/209236330733/UPI/goog-payment@ok/Axis Bank
02-04-2022 3.00 1,017.97
Ltd./AXI86e8b2a5bf034520b947d855a0c35fe8
UPI/209307181632/UPI/q725766244@ybl/Union Bank
04-04-2022 60.00 957.97
ofI/ICIb9ef2da9b2114bb19af6fb2f96cc8cd2/
UPI/209322513595/UPI/kumarsanjeev557/Kotak Mahindra
04-04-2022 110.00 1,067.97
/HDF8272c664984d4c43ad66ffb9618cd137
UPI/209398870024/UPI/pramodsahudurg8/HDFC BANK
04-04-2022 1,062.00 5.97
LTD/ICI50f60cffbdf94cf69d1d1370d956e015/
UPI/209329419582/UPI/kumarsanjeev557/Kotak Mahindra
04-04-2022 9.00 14.97
/HDF2584f3d20c4b4983b89f70a6f691e702
UPI/209364569447/UPI/kumarsanjeev557/Bank of
04-04-2022 51.00 65.97
Maharas/ICIa563460c6b39484f82528faf92de76c1
UPI/209348619087/UPI/paytmqr28100505/Paytm Payments
04-04-2022 60.00 5.97
/ICI0884f91362ef4761b28eecb5c1056f0d/
UPI/RVSL209348619087/UPI/paytmqr28100505/Paytm Payments
04-04-2022 60.00 65.97
/ICI0884f91362ef4761b28eecb5c1056f0d
04-04-2022 CMS TRANSACTION CMS/ CMS2494148182/ANGEL BROKING PVT LTD 3,000.00 3,065.97
UPI/209413707177/UPI/angelnse@hdfcba/HDFC BANK
04-04-2022 2,500.00 565.97
LTD/F320045605989/
UPI/209428579053/UPI/paytmqr28100505/Paytm Payments
04-04-2022 10.00 555.97
/ICIb7fb20345bab4b2ca43f4472156129e4/
UPI/209453359871/UPI/paytmqr28100505/Paytm Payments
04-04-2022 90.00 465.97
/ICI90177c427c7b40f8940526af405dc68c/
UPI/209517739991/UPI/paytmqr28100505/Paytm Payments
05-04-2022 15.00 450.97
/ICI16af86f2509c4e55a68cb9c8543e79d1/
UPI/209590610521/UPI/amanisahu2608-1/Bank of
05-04-2022 40.00 410.97
Maharas/ICIe3db03eefaf345b9aef940c31ee9bf07/
UPI/209530135334/UPI/euronetgpay.pay/ICICI
05-04-2022 99.00 311.97
Bank/ICI9c36ac2794794aa193c482ce6ca0e61e/
UPI/209510418143/UPI/q36873506@ybl/Bank of
05-04-2022 10.00 301.97
Maharas/ICIc802be9571b1457e9181721845d033f5/
UPI/209534555052/UPI/paytmqr28100505/Paytm Payments
05-04-2022 26.00 275.97
/ICI604ac91b06344b82aada182b83502556/
UPI/209593402139/UPI/paytmqr28100505/Paytm Payments
05-04-2022 24.00 251.97
/ICI5f4f62bcb0504f649fd57b18e70ea891/
06-04-2022 CMS TRANSACTION CMS/ CMS2499192096/ANGEL BROKING PVT LTD 2,956.00 3,207.97
UPI/209677527655/MoneyViewEMIPay/moneyview.rzp@a/Axis
06-04-2022 2,549.00 658.97
Bank Ltd./ICI8a212346ff4644439b63833856c98aa5/
UPI/209671011889/UPI/paytmqr28100505/Paytm Payments
06-04-2022 10.00 648.97
/ICI922c7d171296471282fef37e5b067fdf/
UPI/209629366804/Pay to BharatPe/bharatpe.900556/Federal
06-04-2022 40.00 608.97
Bank/ICI96d649efc2544a609c5f19164beb643d/
Total: 7,189.00 11,655.00 608.97
Page 2 of 5 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX7668 in INR for the period April 01, 2022 - April 30, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


UPI/209633224255/UPI/q157340135@ybl/State Bank
06-04-2022 60.00 548.97
OfI/ICI13242bf30e0b4434b217d37a583e732b/
UPI/209733641560/UPI/paytmqr28100505/Paytm Payments
07-04-2022 62.00 486.97
/ICI22b5a227bfef4a94ad7eb77ca032ec2f/
UPI/209745858609/UPI/paytmqr28100505/Paytm Payments
07-04-2022 10.00 476.97
/ICIe18264af5a8146e889d491e9b3a87ac0/
07-04-2022 ICSP/SALARY 27,584.00 28,060.97
UPI/209803189479/UPI/q001103944@ybl/Bank of
08-04-2022 15.00 28,045.97
Maharas/ICI07169dffde19461cb7312171008d3308/
UPI/209845688131/UPI/kreditbee.payu@/Axis Bank
08-04-2022 4,560.00 23,485.97
Ltd./KB220205RTWSYGQg0P4/
UPI/209886993091/Pay/paymeindiaa@yes/Yes Bank
08-04-2022 3,093.00 20,392.97
Ltd/ICI24ea1099cdd74b34897b757e084f0a2d/
08-04-2022 DEBIT CARD IPS/DRIVE IN FU/202204081652/000000008663/BHILAI 100.00 20,292.97
UPI/209825406475/UPI/paytmqr28100505/Paytm Payments
08-04-2022 60.00 20,232.97
/ICI974d54d6e9a34a73b654fb3003718db9/
UPI/209842246263/UPI/paytmqr28100505/Paytm Payments
08-04-2022 20.00 20,212.97
/ICI9f3f57827d6f40469ee0ea596ec28920/
UPI/209988504991/UPI/q540997154@ybl/Canara
11-04-2022 17.00 20,195.97
Bank/ICIf6ce307903c84a2a946525fbc1848ba6/
UPI/209931621412/UPI/paytmqr28100505/Paytm Payments
11-04-2022 60.00 20,135.97
/ICIe8df72401f004b7bab6677587dddb631/
UPI/209963297284/UPI/9675931871@payt/Prathama UP
11-04-2022 500.00 19,635.97
Gra/ICIa8abfad14c184c749a3c08ffc33b5817/
UPI/209933889076/UPI/paytmqr28100505/Paytm Payments
11-04-2022 50.00 19,585.97
/ICI6116f08839234ee9a628c67004160494/
UPI/209996771989/UPI/paytmqr28100505/Paytm Payments
11-04-2022 75.00 19,510.97
/ICI1813b20d13244aa3909476dbd65d40f4/
UPI/209983497103/UPI/paytmqr28100505/Paytm Payments
11-04-2022 50.00 19,460.97
/ICIba5c01831728465898dedfcec5419621/
UPI/210006925998/UPI/paytmqr28100505/Paytm Payments
11-04-2022 60.00 19,400.97
/ICI11866df3bdbd4d2da98c27aa646cad42/
UPI/210042463286/UPI/paytmqr28100505/Paytm Payments
11-04-2022 60.00 19,340.97
/ICI3e4bad9d729e44cc89c4439eb9e854ae/
UPI/210102860483/UPI/angelnse@hdfcba/HDFC BANK
11-04-2022 19,000.00 340.97
LTD/F320046957943/
UPI/210160637419/UPI/q001103944@ybl/Bank of
11-04-2022 10.00 330.97
Maharas/ICI9d44fc0680c3459f8ca8052ff922a240/
UPI/210135592804/UPI/q662608715@ybl/State Bank
11-04-2022 60.00 270.97
OfI/ICIc22807a4c49f49d29459c65cb7e6b7a1/
UPI/210164033510/UPI/paytmqr28100505/Paytm Payments
11-04-2022 40.00 230.97
/ICIf832dffb394146498c2cf9049e7da600/
UPI/210235607197/NA/9685630000@payt/ICICI
12-04-2022 30,000.00 30,230.97
Bank/PTM94b2db62cb304098910f76bd52a6a03c
UPI/210241337614/UPI/paytmqr28100505/Paytm Payments
12-04-2022 40.00 30,190.97
/ICI949f6af415494b55a1751bb59a225bcd/
UPI/210286827414/UPI/q157340135@ybl/State Bank
12-04-2022 90.00 30,100.97
OfI/ICI1220f26587bf4ed288fea7936e86af67/
UPI/210244523604/UPI/paytmqr28100505/Paytm Payments
12-04-2022 70.00 30,030.97
/ICIa17318dfc43542e89b6f2bd527736ff6/
UPI/210385627170/UPI/goog-payment@ok/Axis Bank
13-04-2022 4.00 30,034.97
Ltd./AXI35947061714142faad570b514751a75d
UPI/210354034705/UPI/angelnse@hdfcba/HDFC BANK
13-04-2022 10,000.00 20,034.97
LTD/F320047440450/
13-04-2022 DEBIT CARD IPS/DRIVE IN FU/202204131733/000000008971/BHILAI 100.00 19,934.97
UPI/210390143069/UPI/paytmqr28100505/Paytm Payments
13-04-2022 40.00 19,894.97
/ICI0e8a29f152f7427c9114fa6633d70722/
UPI/210327147799/EMI TRANSACTION/cashe@kotak/Kotak
13-04-2022 7,651.00 12,243.97
Mahindra /GPAYCASH130422124410000000000905492/
13-04-2022 OTHER ATMS NFS/15141052/CASH WDL/13-04-22 2,000.00 10,243.97
UPI/210364806789/UPI/q662608715@ybl/State Bank
13-04-2022 60.00 10,183.97
OfI/ICI4ba22231b2ac4450b333ee4c493bc06b/
UPI/210369405473/Payment from Ph/8103595654@ybl/Bank of
13-04-2022 1,500.00 8,683.97
Baroda/YBL716069892ee64037acbb4c27e53595ff/
UPI/210400258482/UPI/paytmqr28100505/Paytm Payments
14-04-2022 30.00 8,653.97
/ICI452bc7fb4f274b3b82770b229b100224/
UPI/210422799215/UPI/paytmqr28100505/Paytm Payments
14-04-2022 70.00 8,583.97
/ICIa46acaf7a9d541f1a89f71491e903dc0/
UPI/210414201013/UPI/6261059613@payt/Paytm Payments
14-04-2022 219.00 8,364.97
/ICI0b2c4df698e5416ca50fc00ff305c171/
UPI/210518418166/UPI/rajiv01230@oksb/State Bank Of
15-04-2022 100.00 8,264.97
I/ICIc0123dc073fb4bd9ace0300a834ee34c/
UPI/210545348233/UPI/paytmqr28100505/Paytm Payments
15-04-2022 20.00 8,244.97
/ICI00a8932c66b84d3cb53d37bcc2e5f991/
UPI/210531081103/Pay to BharatPe/bharatpe9072349/Yes Bank
15-04-2022 40.00 8,204.97
Ltd/ICI54cf5458b62741f1966f2ae2a46196f0/
UPI/210543016770/UPI/paytmqr28100505/Paytm Payments
15-04-2022 60.00 8,144.97
/ICI10af783216a44b719f61d6c3f43c2262/
Total: 57,588.00 50,052.00 8,144.97
Page 3 of 5 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX7668 in INR for the period April 01, 2022 - April 30, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


UPI/210507675852/UPI/paytmqr28100505/Paytm Payments
15-04-2022 85.00 8,059.97
/ICIedd30e7adb5848a7850df6c7f553f152/
15-04-2022 OTHER ATMS NFS/15141008/CASH WDL/15-04-22 1,000.00 7,059.97
UPI/210525684996/UPI/tiwari1995swati/Central
15-04-2022 699.00 6,360.97
BankOf/ICI3a46a355762e49498b84cdd754e99617/
UPI/210614853269/Payment from Ph/9179197925@ybl/Bank of
16-04-2022 330.00 6,690.97
Maharas/YBL9a381f028e1243d9bc43def40dfa9f67
UPI/210712052888/JIO20BR0007LH75/jio@citibank/Citibank/ICI3f
18-04-2022 259.00 6,431.97
d12c2884c149ada5aad5cd3d3bbbc0/
UPI/210724990901/UPI/q912585694@ybl/Canara
18-04-2022 40.00 6,391.97
Bank/ICIa5ee0f159bc24c9286f8f0ba75be625c/
UPI/210746188141/UPI/paytmqr28100505/Paytm Payments
18-04-2022 60.00 6,331.97
/ICIe89c187d85f2468ba7d564a6e7ec02e9/
18-04-2022 DEBIT CARD IPS/DRIVE IN FU/202204171706/000000009226/BHILAI 100.00 6,231.97
UPI/210727867473/UPI/paytmqr28100505/Paytm Payments
18-04-2022 40.00 6,191.97
/ICI6a1d659aca5b47c988f9f98c053a16bb/
UPI/210830988939/UPI/paytmqr28100505/Paytm Payments
18-04-2022 15.00 6,176.97
/ICI6777f764c81842fb8bf4507b2acfb43d/
UPI/210813607768/Payment from Ph/6204059311@ybl/HDFC
18-04-2022 4,000.00 2,176.97
BANK LTD/YBL2348f073e05a4be0b000cdf43f523403/
UPI/210804012254/UPI/tiwari1995swati/Central
18-04-2022 700.00 2,876.97
BankOf/HDFb3b899d497df47f29f3268a6a9fbc647
UPI/210834345813/UPI/kumarsanjeev557/Bank of
18-04-2022 1,852.00 4,728.97
Maharas/ICIc7ee4c6830dd475980082e21c7947a03
UPI/210894816005/UPI/kreditbee.payu@/Axis Bank
18-04-2022 4,552.00 176.97
Ltd./KB220205RTWSYtrQmCa/
UPI/210832630010/UPI/kumarsanjeev557/Bank of
18-04-2022 11,973.00 12,149.97
Maharas/ICIf7f5f741731c4f95ba129fb7a52ef17a
UPI/210842118849/UPI/paytmqr28100505/Paytm Payments
18-04-2022 100.00 12,049.97
/ICIbf997c69fcab4e559f0934a60c7c4bc7/
UPI/210856124705/UPI/billdesk.prepai/ICICI
18-04-2022 25.00 12,024.97
Bank/ICI1e4bf5e7d0fe43f7b693115fec72244b/
18-04-2022 NET BANKING VIN/IRCTC Train/202204182253/210817587665/ 2,734.84 9,290.13
18-04-2022 NET BANKING VIN/Indian Rail/202204182322/210817004112/ 1,377.25 7,912.88
18-04-2022 NET BANKING VIN/Indian Rail/202204182327/210817001108/ 2,735.15 5,177.73
UPI/210962561026/UPI/angelnse@hdfcba/HDFC BANK
19-04-2022 4,500.00 677.73
LTD/F320048119259/
UPI/210959158111/UPI/paytmqr28100505/Paytm Payments
19-04-2022 50.00 627.73
/ICIdb5533bb678643fab898a98e6f05ec0b/
UPI/210900027217/UPI/paytmqr28100505/Paytm Payments
19-04-2022 25.00 602.73
/ICI22813805797e4576b3912df32c765043/
UPI/210969127225/UPI/q483996620@ybl/State Bank
19-04-2022 60.00 542.73
OfI/ICIb8d95a64836d48c683d76f73d9dd5bbb/
UPI/210912738785/UPI/kumarsanjeev557/Bank of
19-04-2022 1,062.00 1,604.73
Maharas/ICIc21f793efa1547a38aaaf51f8f64e5d5
UPI/211035106037/UPI/q92592735@ybl/Bank of
20-04-2022 10.00 1,594.73
Maharas/ICIe489a4da3548450ea424ae3384de7470/
UPI/211023713600/UPI/paytmqr28100505/Paytm Payments
20-04-2022 120.00 1,474.73
/ICI4c7a43b6f5ad42dc9ffb0a639eed62a5/
UPI/211175525137/UPI/paytmqr28100505/Paytm Payments
21-04-2022 15.00 1,459.73
/ICI2138c9acb9994ed487c4a023a1cb7317/
UPI/211114930850/UPI/euronetgpay.pay/ICICI
21-04-2022 99.00 1,360.73
Bank/ICIb90fed427f7f4b8e8bb0da9bc2554d25/
21-04-2022 VISA REF IRCTC TOURISM 2,734.84 4,095.57
UPI/211151835274/UPI/paytmqr28100505/Paytm Payments
21-04-2022 60.00 4,035.57
/ICI4cc0dcc94a3549b7b0e2bcb915f03aeb/
21-04-2022 CMS TRANSACTION CMS/ CMS2533555247/ANGEL BROKING PVT LTD 6,812.68 10,848.25
22-04-2022 CMS TRANSACTION CMS/ CMS2533991825/ANGEL BROKING PVT LTD 187.32 11,035.57
UPI/211231353183/UPI/paytmqr28100505/Paytm Payments
22-04-2022 30.00 11,005.57
/ICI1d8187c740ed4a91bbb7366bc47ac6b5/
UPI/211250752499/UPI/paytmqr28100505/Paytm Payments
22-04-2022 25.00 10,980.57
/ICI9df07110fb1d434a926c8509dfbedb40/
UPI/211251253166/UPI/gpay-1118675980/Axis Bank
22-04-2022 84.00 10,896.57
Ltd./ICI26fe29ef336b460a80aa4b52ecc981ed/
22-04-2022 CMS TRANSACTION CMS/ CMS2535846823/ANGEL BROKING PVT LTD 2,434.00 13,330.57
UPI/211380466804/UPI/paytmqr28100505/Paytm Payments
25-04-2022 70.00 13,260.57
/ICIdbefc9d586f2494fbc5064252d63f372/
UPI/211301372006/UPI/q912585694@ybl/Canara
25-04-2022 40.00 13,220.57
Bank/ICI94d3c01b833a4e9980ca8df122ecf781/
UPI/211376171862/UPI/paytmqr28100505/Paytm Payments
25-04-2022 45.00 13,175.57
/ICIaf223361c60f44b18310d11a5e15c34b/
UPI/211304579659/Merchant QR/boism-930045550/Bankof
25-04-2022 1,070.00 12,105.57
India/ICI3c69ebb25dab406692a566b10af0be7e/
UPI/211473189559/UPI/paytm-67526453@/Paytm Payments
25-04-2022 2,452.00 9,653.57
/ICI360ac0251c0a450bb9ce629f5af13854/
Total: 28,085.84 26,577.24 9,653.57
Page 4 of 5 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX7668 in INR for the period April 01, 2022 - April 30, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


UPI/211437182994/UPI/goog-payment@ok/Axis Bank
25-04-2022 3.00 9,656.57
Ltd./AXI0e7e9ec6e80148b590ae5c219fee2b95
UPI/211417290069/UPI/paytmqr28100505/Paytm Payments
25-04-2022 30.00 9,626.57
/ICI7a8d5debc6844beab399197dab1040f3/
UPI/211436790902/UPI/paytmqr28100505/Paytm Payments
25-04-2022 120.00 9,506.57
/ICIe839bd1035b64a04845175b98084301f/
UPI 211304579659 Merchant QR boism930045550 Bankof India
25-04-2022 1,070.00 10,576.57
ICI3c69ebb25dab406692a566b10af0be7e
UPI/211582703568/UPI/paytmqr28100505/Paytm Payments
25-04-2022 159.00 10,417.57
/ICI0d985e14cc044dde88024518c878d777/
UPI/211541703302/UPI/paytmqr28100505/Paytm Payments
25-04-2022 60.00 10,357.57
/ICIf4e533f66aed49c1bb6703d53a924371/
UPI/211508709619/UPI/goldikumari0654/State Bank Of
25-04-2022 5,000.00 5,357.57
I/ICIdef4247746e34c25ab2cbe240e6f4ba9/
UPI/211502810447/UPI/paytmqr28100505/Paytm Payments
25-04-2022 10.00 5,347.57
/ICI738ad49e2deb4245b4d6b3c557947fd8/
UPI/211524528488/UPI/rajnishkumarlkr/Canara
25-04-2022 1.00 5,348.57
Bank/HDF1c7530dfae8343a1828373f769bae37d
UPI/211524551493/UPI/rajnishkumarlkr/Canara
25-04-2022 25,000.00 30,348.57
Bank/HDFf64b7e72df3f47c08380fd1c8020678d
25-04-2022 DEBIT CARD VPS/4902 D MART/202204251840/211513017282/DURG 737.40 29,611.17
UPI/211513416781/UPI/q662608715@ybl/State Bank
25-04-2022 15.00 29,596.17
OfI/ICI1ee70502422f4308ae12857a2dd53d9f/
25-04-2022 DEBIT CARD IPS/DRIVE IN FU/202204251901/000000002180/BHILAI 100.00 29,496.17
UPI/211521921175/UPI/q912585694@ybl/Canara
25-04-2022 420.00 29,076.17
Bank/ICI4ce0c224f9e4418ab0074b33204078b0/
UPI/211591521589/UPI/q662608715@ybl/State Bank
25-04-2022 70.00 29,006.17
OfI/ICI7d8da75e5dab4d8b85a21be6c858280d/
25-04-2022 ICICI ATM ATM/S1CNR615/CASH WDL/25-04-22 1,000.00 28,006.17
UPI/211696123314/UPI/paytmqr28100505/Paytm Payments
26-04-2022 60.00 27,946.17
/ICI1389f45f16694a7095d951cad37b80cc/
MMT/IMPS/211619906924/MOBUA0468343598/Miss
26-04-2022 MOBILE BANKING 20,000.00 47,946.17
ANKI/State Bank of I
UPI/211704648567/UPI/angelnse@hdfcba/HDFC BANK
27-04-2022 30,000.00 17,946.17
LTD/F320049630320/
UPI/211799948826/UPI/goldikumari0654/State Bank Of
27-04-2022 1,000.00 16,946.17
I/ICIf94fb04e52064ccab9b3d16407bbf8d0/
UPI/211981998431/UPI/goldikumari0654/State Bank Of
29-04-2022 500.00 16,446.17
I/ICIf2f798c586124b6daa0c103c17bf63a2/
30-04-2022 CMS TRANSACTION CMS/ CMS2550838405/ANGEL BROKING LIMITED F AND O 10,000.00 26,446.17
UPI/212098911983/UPI/harshraj19898@o/State Bank Of
30-04-2022 5,000.00 21,446.17
I/ICI7eb89798955e47d2a757cbe546b792bc/
UPI/212088196013/Payment from Ph/EURONET@ybl/Yes Bank
30-04-2022 49.00 21,397.17
Ltd/YBL61d0d7a96354461abefd8b249bd778fd/
Total: 56,074.00 44,330.40 21,397.17

Account Related Other Information


ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings XXXXXXXX7668 490229002 ICIC0000186 -

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

Sincerely, Legends for transactions in your account statement


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

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


You can now download the account statement using the iMobile Pay app and Internet Banking.
Page 5 of 5 M-76543125-1

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

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