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002666/47826/1-2/NRINRI/10-25

MR.ANANDAN GUNASEKARAN
NO 59C-3-4/NA, ARUMUGAM ROAD 2ND STREET
KAMARAJAPURAM, NORTH PORTION , THIRUMANGALAM
MADURAI
TAMIL NADU - INDIA - 625706 Your Base Branch : GHATKOPAR BRANCH, KAILASH
PLAZA,FINAL PLOT 355,VALLABH BAUG OPP. ODEON
CINEMA, GHATKOPAR EAST 400077

: Visit www.icicibank.com
Å Dial your Bank +91 40 3099 8025
This is not a toll free number. Please call from your Registered mobile
number for faster access.

NEVER SHARE your Card number, CVV, PIN, OTP, Internet Banking User ID, Password or URN with anyone, even if the caller claims
to be a bank employee. Sharing these details can lead to unauthorised access to your account.

Summary of Accounts held under Customer ID : XXXXX4197 as on September 30, 2018

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings - NRE A/c XXXXXXXX2282 420.11 0.00 420.11 Registered

TOTAL 420.11 0.00 420.11

Statement of Transactions in Savings Account Number: XXXXXXXX2282 in INR for the period July 01, 2018 - September 30, 2018

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-07-2018 B/F 75,465.55
02-07-2018 ICICI ATM ATM/CASH WDL/01-07-18/0 1,000.00 74,465.55
06-07-2018 ICICI ATM ATM/CASH WDL/06-07-18/0 7,500.00 66,965.55
09-07-2018 ICICI ATM ATM/CASH WDL/09-07-18/0 5,500.00 61,465.55
09-07-2018 ICICI ATM ATM/WDL RVSL/09-07-18/R/002601052282 5,500.00 66,965.55
09-07-2018 ICICI ATM ATM/CASH WDL/09-07-18/0 5,500.00 61,465.55
11-07-2018 ICICI ATM ATM/CASH WDL/11-07-18/0 20,000.00 41,465.55
11-07-2018 ICICI ATM ATM/CASH WDL/11-07-18/0 500.00 40,965.55
16-07-2018 ICICI ATM ATM/CASH WDL/16-07-18/0 2,000.00 38,965.55
16-07-2018 ICICI ATM ATM/CASH WDL/16-07-18/0 4,000.00 34,965.55
17-07-2018 DEBIT CARD IPS/HPCL MVM SU/20180717171637/0 381.66 34,583.89
19-07-2018 ICICI ATM ATM/CASH WDL/19-07-18/0 1,500.00 33,083.89
20-07-2018 OTHER ATMS NFS/CASH WDL/20-07-18 1,000.00 32,083.89
20-07-2018 IPS REF DT 18.07.2018_006821_H 2.86 32,086.75
21-07-2018 DEBIT CARD VPS/VELAMMAL ED/20180721184340/0 400.00 31,686.75
23-07-2018 OTHER ATMS NFS/CASH WDL/22-07-18 1,000.00 30,686.75
24-07-2018 OTHER ATMS NFS/CASH WDL/24-07-18 1,500.00 29,186.75
27-07-2018 ICICI ATM ATM/CASH WDL/27-07-18/0 10,000.00 19,186.75
30-07-2018 ICICI ATM ATM/CASH WDL/29-07-18/0 1,000.00 18,186.75
30-07-2018 DEBIT CARD IPS/HPCL MVM SU/20180729100353/0 310.07 17,876.68
31-07-2018 ICICI ATM ATM/CASH WDL/31-07-18/0 5,500.00 12,376.68
31-07-2018 DEBIT CARD VPS/APOLLO HOSP/20180731175351/0 450.00 11,926.68
01-08-2018 DEBIT CARD VPS/BIG BAZAAR /20180801155726/0 3,781.41 8,145.27
02-08-2018 IPS REF DT 30.07.2018_008097_H 2.33 8,147.60
03-08-2018 OTHER ATMS NFS/CASH WDL/03-08-18 1,000.00 7,147.60
03-08-2018 OTHER ATMS NFS/WDL RVSL/03-08-18/002601052282 1,000.00 8,147.60
03-08-2018 OTHER ATMS NFS/CASH WDL/03-08-18 1,000.00 7,147.60
09-08-2018 DEBIT CARD IPS/HPCL MVM SU/20180809154335/0 369.60 6,778.00
Total: 6,505.19 75,192.74 6,778.00

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Statement of Transactions in Savings Account Number: XXXXXXXX2282 in INR for the period July 01, 2018 - September 30, 2018

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

14-08-2018 IPS REF DT 10.08.18_010844_HPC 2.77 6,780.77
18-08-2018 DEBIT CARD VPS/VELAMMAL ED/20180818174917/0 1,050.00 5,730.77
22-08-2018 ICICI ATM ATM/CASH WDL/22-08-18/0 4,000.00 1,730.77
27-08-2018 DEBIT CARD IPS/HPCL MVM SU/20180825082645/0 384.54 1,346.23
27-08-2018 DEBIT CARD VPS/R M PLASA /20180825221602/0 80.00 1,266.23
27-08-2018 OTHER ATMS NFS/CASH WDL/26-08-18 1,000.00 266.23
29-08-2018 IPS REF DT 26.08.2018_006079_H 2.88 269.11
29-09-2018 002601052282:Int.Pd:30-06-2018 to 28-09-2018 151.00 420.11
TOTAL Total: 156.65 6,514.54 420.11

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE* NAME OF MANDATE HOLDER
Savings - NRE XXXXXXXX2282 400229009 ICIC0000026 - -

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

For ICICI Bank Limited

Authorised Signatory

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
VPS/IPS - Debit card transaction TOP - Mobile Recharge
RTGS - Real Time Gross Settlement (Instant transfer above Rs 2 Lakh) NEFT - National Electronic Fund Transfer

• As per prevailing guidelines of the Income tax Act, 1961 if a valid PAN is not provided by
the Customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
• As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be
generated through the Income tax website for which the PAN of the customer needs to be
necessarily updated in Bank's record.
• In case your PAN is not updated in our record, please visit the nearest branch and provide a
copy of the PAN card along with the original PAN card for verification.
• The address of the customer in Form 16A will be the last updated address in the data base of
the Income tax department.
• As per PMJJY, debit of Rs.289 is towards insurance premium collected on behalf of ICICI
Prudential & Rs.41 is towards administration charges by ICICI bank (including GST). For details
refer Terms and Conditions at www.icicibank.com.

Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex, Mumbai - 400051, India. www.icicibank.com
Registered Office: ICICI Bank Tower, Near Chakli Circle, Old Padra Road, Vadodara, Gujarat. Pin – 390 007. Category of service: Banking & Financial Services.
Registration No. MIV/ST/Bank & Finc/4.
This is an authenticated intimation/statement. CIN : L65190GJ1994PLC021012
Customers are requested to immediately notify the Bank of any discrepancy in the statement

47826 ROG_SR128351091_DB_AS_SSen_19052019