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Page 1 of 3 M-76543125-1

414501/76543125-1/1-3/RESGB/09-26
Your Base Branch : ICICI BANK LIMITED
BRANCH, ICICI BANK LTD., UNIT NO-2 , PLOT
NO 7 , ADVANT IT PARK, SECTOR 142 , NOIDA
MR.RINKU TYAGI , DISTT 201308
61,GEJHA TILAPATABAD,SECTOR 93 NOIDA,GEJHA,
SALARPUR
GAUTAM BUDDHA NAGAR : Visit www.icicibank.com
UTTAR PRADESH - INDIA - 201304 Å Dial your Bank 1800 1080

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 : XXXXX9400 as on November 30, 2022

ACCOUNT DETAILS - INR

ACCOUNT TYPE ACCOUNT BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION

Savings A/c XXXXXXXX1690 22,994.14 0.00 22,994.14 Not Registered

TOTAL 22,994.14 0.00 22,994.14

FIXED DEPOSITS - INR

DEPOSIT NO. OPEN DATE DEP. AMT. # ROI% PERIOD MAT. AMT. ^ MAT. DATE BALANCE * NOMINATION
414513003682 06-10-2022 2,40,000.00 5.90 185 Days 2,47,252.00 09-04-2023 2,40,000.00 Not Registered
414510001298 29-10-2022 30,000.00 5.50 6 Mths 1 Days 30,000.00 30-04-2023 30,000.00 Not Registered
TOTAL 2,70,000.00

# Deposit amount shown is as on 01-12-2022 ^ Maturity value is subject to change due to payment of Tax Deducted at Source (TDS) wherever applicable * includes accrued interest if any

Statement of Transactions in Savings Account XXXXXXXX1690 in INR for the period November 01, 2022 - November 30, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-11-2022 B/F 25,370.65


UPI/230733583946/payment on CRED/cred.club@axisb/Axis
03-11-2022 1,452.00 23,918.65
Bank Ltd./ACDrmZdn0rxwvKy48gpJREq/
UPI/230760579876/payment on CRED/cred.club@axisb/Axis
03-11-2022 155.00 23,763.65
Bank Ltd./ACDb52gDP77gEngKZX4PjzB/
UPI/230716422472/payment on CRED/cred.club@axisb/Axis
03-11-2022 634.00 23,129.65
Bank Ltd./ACD6RaG1Pa8k5xjZra4JMLn/
UPI/267363279063/Payment from Ph/Q362403573@ybl/Yes
03-11-2022 10.00 23,119.65
Bank Ltd/YBLaa37cfde16f441588a900a9f09bdb4f1/
UPI/230731766529/UPI/paytmqr28100505/Paytm Payments
03-11-2022 50.00 23,069.65
/ICI748fbcb3e4a348a5809952c0766be687/
UPI/230756163968/UPI/q284490014@ybl/Yes Bank
03-11-2022 10.00 23,059.65
Ltd/ICI32703e0e31eb4a9183c1e93354181fb1/
UPI/231262458126/Payment from
08-11-2022 Ph/paytmqr28100505/Paytm Payments 20.00 23,039.65
/YBL45a1593312684cc9abebdfecf9a4db08
UPI/267878652828/Payment from Ph/tyagi.rinku21@y/Yes
08-11-2022 28,112.00 51,151.65
Bank Ltd/YBL4976c0e7a8884494b5ad70e1633f5105
UPI/231342450853/UPI/paytmqr28100505/Paytm Payments
09-11-2022 10.00 51,141.65
/ICI86ce5fcf7e664609a6a3db58db2e3e70/
UPI/231304572935/payment on CRED/cred.club@axisb/Axis
09-11-2022 1,000.00 50,141.65
Bank Ltd./ACDvK2d9VGzMy7We7Zl0ErW/
10-11-2022 LPNODXX56711 NOV22 Rinku Tyagi 5,944.00 44,197.65
UPI/231497526903/payment on CRED/cred.club@axisb/Axis
10-11-2022 992.00 43,205.65
Bank Ltd./ACDen2E5VMNdzWyBLG8J6Mg/
UPI/231434053113/paid via CRED P/paytmqr28100505/Paytm
10-11-2022 55.00 43,150.65
Payments /ACD2bY7Jqg1KxNpQrEQ0GXR/
UPI/231430166216/paid via CRED P/paytmqr28100505/Paytm
10-11-2022 30.00 43,120.65
Payments /ACDLvpXP22GXY1azxakP1Qj/
UPI/231446609882/Verified Mercha/bharatpe.904175/ICICI
10-11-2022 250.00 42,870.65
Bank/ACD5rWQVxKGKY2knQ2g0K6e/
UPI/231544820308/payment on CRED/cred.club@axisb/Axis
11-11-2022 977.00 41,893.65
Bank Ltd./ACD7byezPlwL9yxdWq6JLDR/
UPI/231558435966/paid via CRED P/q284490014@ybl/Yes
11-11-2022 41.00 41,852.65
Bank Ltd/ACDXKQkJLgLD2BXBaB3V6Z8/
UPI/231567085955/paid via CRED P/paytmqr28100505/Paytm
11-11-2022 70.00 41,782.65
Payments /ACDXbyqJN8GvKB5YM6D0LeN/
UPI/231684074985/Pay to BharatPe/BHARATPE9072387/Yes
12-11-2022 10.00 41,772.65
Bank Ltd/YBL8cd35b395e3547f0a4d49326b3865e76/
Total: 28,112.00 11,710.00 41,772.65
Page 2 of 3 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX1690 in INR for the period November 01, 2022 - November 30, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


UPI/231638114380/payment on CRED/cred.club@axisb/Axis
12-11-2022 981.00 40,791.65
Bank Ltd./ACD7YvRd0n1B8xz7D6BPayZ/
UPI/231687106919/Verified Mercha/BHARATPE.904260/ICICI
12-11-2022 310.00 40,481.65
Bank/YBL79109c8c13f5468b821cbed8f3550104/
UPI/231688954767/UPI/paytmqr28100505/Paytm Payments
12-11-2022 40.00 40,441.65
/ICI96b911adf8e845b29fc73fd6908b770f/
UPI/231790227139/payment on CRED/cred.club@axisb/Axis
14-11-2022 997.00 39,444.65
Bank Ltd./ACDYLzv05k23vk8DMk4J5dj/
UPI/231756072667/UPI/paytmqr28100505/Paytm Payments
14-11-2022 32.00 39,412.65
/ICI3c1a2b47098c4484bf877d8da0619c83/
UPI/231833256103/payment on CRED/cred.club@axisb/Axis
14-11-2022 996.00 38,416.65
Bank Ltd./ACD1j4ZJp67NKZQ5M2p0BWq/
UPI/231830985727/Payment from
14-11-2022 Ph/paytmqr28100505/Paytm Payments 20.00 38,396.65
/YBL35823dfec248475e8111c2a2e63365c3
UPI/231855419406/UPI/q074384128@ybl/Yes Bank
14-11-2022 510.00 37,886.65
Ltd/ICIc72fe9c061204565be0e3e4784fd9b86/
UPI/231870826777/Payment from
14-11-2022 Ph/Q161936535@ybl/Canara 60.00 37,826.65
Bank/YBL2e4bc34195734c36a1ba1c4f601a28e7/
UPI/231926511445/Payment from
15-11-2022 Ph/paytmqr28100505/Paytm Payments 102.00 37,724.65
/YBLa650b06ec8f04996ae5ee84d26dae332
UPI/231969631816/UPI/paytmqr28100505/Paytm Payments
15-11-2022 320.00 37,404.65
/ICI8c4f647d576c49d683b20caddfe1c768/
UPI/231981537098/UPI/jalandharak20@o/ICICI
15-11-2022 150.00 37,254.65
Bank/ICI9026cf3519654107b3fe4275ca57c261/
UPI/231949936517/UPI/paytmqr28100505/Paytm Payments
15-11-2022 34.00 37,220.65
/ICI5aa1c8acee8941d09626f7d52e9a5732/
UPI/231930172102/UberRide/uberrides@hdfcb/HDFC BANK
15-11-2022 35.71 37,184.94
LTD/PTMed4fc89173694c78a6a0166d12e653e4/
UPI/231945541581/UPI/tyagi.rinku2@ok/Yes Bank
15-11-2022 200.00 36,984.94
Ltd/ICI71793d241e994d74999336b3ea07c634/
UPI/231918925319/payment on CRED/cred.club@axisb/Axis
15-11-2022 995.00 35,989.94
Bank Ltd./ACDgqNGP9avdy4mpr3DPY6k/
UPI/232009259401/payment on CRED/cred.club@axisb/Axis
16-11-2022 987.00 35,002.94
Bank Ltd./ACDaYqQPyzzx7XypGMe0dX8/
UPI/232008183314/payment on CRED/cred.club@axisb/Axis
16-11-2022 208.51 34,794.43
Bank Ltd./ACD5rWQ0xxx46XrvdXz0K6e/
UPI/232102604779/UPI/nitinmehra4521@/ICICI
17-11-2022 1,820.00 32,974.43
Bank/ICI76de37f9ec7343ebbbc99b93ca568dd7/
UPI/232129396286/payment on CRED/cred.club@axisb/Axis
17-11-2022 1,000.00 31,974.43
Bank Ltd./ACD7eBd201EGgeN1yKL0pgR/
UPI/232220631541/payment on CRED/cred.club@axisb/Axis
18-11-2022 991.00 30,983.43
Bank Ltd./ACDB17EYJ33YkkmzrbDJe6p/
UPI/232342168054/payment on CRED/cred.club@axisb/Axis
19-11-2022 987.00 29,996.43
Bank Ltd./ACDb6BpZP8Rp734dvb8V8j7/
UPI/232358466522/Pay To
19-11-2022 MOHAMMED/BHARATPE0989345/Yes Bank 260.00 29,736.43
Ltd/PTM8e102a12c8724de38dc12101ec788c72/
UPI/232302365683/UPI Payment/9911216225@icic/ICICI
19-11-2022 460.00 30,196.43
Bank/ICI4394f5227f0f4dfe978cb901d68e19ba
UPI/232402815842/payment on CRED/cred.club@axisb/Axis
21-11-2022 996.00 29,200.43
Bank Ltd./ACDLnqDb0R8xmBEDR47Jl1y/
UPI/232578334414/payment on CRED/cred.club@axisb/Axis
21-11-2022 996.00 28,204.43
Bank Ltd./ACD4eWaXJKyr7B2kg9k01p2/
UPI/269139546512/Payment from Ph/Q866667626@ybl/Yes
21-11-2022 100.00 28,104.43
Bank Ltd/YBL8979125f89094e4cbbff14c66af74c84/
UPI/232648940772/payment on CRED/cred.ccbp@yesba/Yes
22-11-2022 996.00 27,108.43
Bank Ltd/ACD6BpZJ8rKNK6eQ7KL08j7/
UPI/232721463447/payment on CRED/credclub@icici/ICICI
23-11-2022 985.00 26,123.43
Bank/eulkuk97XjsnThz8evH/
UPI/232929960322/payment on CRED/cred.club@axisb/Axis
25-11-2022 990.00 25,133.43
Bank Ltd./ACDLvMj7PjwZkax9zm50NBK/
UPI/233094572350/payment on CRED/cred.club@axisb/Axis
26-11-2022 989.00 24,144.43
Bank Ltd./ACD5e8xB04yzj2djGvyV923/
UPI/233058010450/NA/paytmqr28100505/Paytm Payments
26-11-2022 198.00 23,946.43
/PAMf02ebd01e6b84a4c86d9d90597b9b0ce/
UPI/233070271544/payment on CRED/cred.club@axisb/Axis
26-11-2022 667.00 23,279.43
Bank Ltd./ACDZ54dzPX4KLba9Rr4PYWw/
UPI/233108873658/payment on CRED/cred.club@axisb/Axis
28-11-2022 1,000.00 22,279.43
Bank Ltd./ACD7YvRdJn7l9xl921nPayZ/
UPI/233196961421/payment on CRED/cred.club@axisb/Axis
28-11-2022 1,000.00 21,279.43
Bank Ltd./ACD7byez0la5Ga8bY6KVLDR/
UPI/233228103381/payment on CRED/cred.club@axisb/Axis
28-11-2022 1,991.00 19,288.43
Bank Ltd./ACDYzbvZVkK263QX723VXMG/
Total: 460.00 22,944.22 19,288.43
Page 3 of 3 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX1690 in INR for the period November 01, 2022 - November 30, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


UPI/233217133196/payment on CRED/cred.club@axisb/Axis
28-11-2022 1,997.00 17,291.43
Bank Ltd./ACDyZpLkVBM316YRmNZ0nXQ/
UPI/233312156021/payment on CRED/cred.club@axisb/Axis
29-11-2022 2,000.00 15,291.43
Bank Ltd./ACDyXKQkPLxxLp37WEQP6Z8/
29-11-2022 414510001298IO Int on FD/RD XXX1298 Tds:0.Int:137 and TAX:0. 137.00 15,428.43
UPI/233337879858/UPI/paytmqr28100505/Paytm Payments
29-11-2022 20.00 15,408.43
/ICIf05075c5248a40249acab4cd3809e45d/
29-11-2022 NET BANKING INF/000153632776/SALARY FOR NOV-2022 391289 17,077.00 32,485.43
UPI/233417702958/payment on CRED/cred.ccbp@yesba/Yes
30-11-2022 1,996.00 30,489.43
Bank Ltd/ACDeBd2J17j6BYx3nE80pgR/
UPI/233483219062/Payment from Ph/repayments@slic/Axis
30-11-2022 7,495.29 22,994.14
Bank Ltd./eul5jQ82yg3kpA7gmCm/
Total: 17,214.00 13,508.29 22,994.14

Summary of TDS/Interest on Fixed Deposits during the period November 01, 2022 - November 30, 2022

DATE OF
ACCOUNT INTEREST PAID/ TAX DEDUCTED
PAYMENT/
NUMBER CREDITED (INR) (INR)
CREDIT
Opening Balance (Cumulative) 2,185.00 0.00
414510001298 29-11-2022 137.00 0.00
Closing Balance (Cumulative) 2,322.00 0.00

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*

Savings XXXXXXXX1690 100229300 ICIC0004145 -

* Nominee name is displayed only upon specific consent of the customer.

Sincerely,

Team ICICI Bank 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

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


You can now download the Account Statement using the iMobile Pay app and Internet Banking.

l There is a revision in the service charge for domestic Savings Accounts w.e.f. Oct 01, 2022. For l Do not fall prey to fictitious offers about winning prizes, money circulation schemes, cheap funds, etc.
details, please visit https://www.icicibank.com/notice-board.page through SMS, e-mails and calls.
l There is a change in the Terms and Conditions for Salary Accounts. For details, visit l As per the prevailing guidelines of the Income Tax Act, 1961, if a valid PAN is not provided by the
www.icicibank.com/managed-assets/docs/terms-condition/tnc-savings-account.pdf (Clause XV). customer, then the Form 15G/15H shall not be treated as valid and tax shall be deducted at the
l Bank’s Code of Commitment to its Customers and Micro and Small Enterprises (MSE): Please visit prevailing rate or at 20%, whichever is higher. PAN can be updated online or at the nearest branch.
www.icicibank.com > ‘About Us’ > ‘Notice Board’ > ‘Code of Commitment’. The Code has been l The address of the customer in Form 16A will be the last updated address in the data base of the
framed in line with the guidelines provided by Banking Codes and Standards Board of India income tax department.
(BCSBI).
l PMJJBY Insurance: The insurance premium is collected on behalf of ICICI Prudential Life Insurance
l As per the guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be Company Limited plus administration charges are collected by ICICI Bank (including GST), in line with
generated through the Income tax website for which the PAN of the customer needs to be the existing laws. Effective Sep 01, 2018, a premium is charged on a pro-rata basis for all new
necessarily updated in the Bank's record. enrolments in the scheme. It is noteworthy that the renewal premium for all existing customers shall be
l Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation (DICGC) up charged for a period of one year (i.e. Rs 330) between May 25 and May 31, every year. For details on
to a maximum of Rs. 5 lakh, for both principal and interest amount held by him/her in the same the premium structure, refer to the Terms & Conditions under the Pradhan Mantri Social Security
right and same capacity. 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. SR224512319

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