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017004/28927328-47337/1-2/RESGB/07-05
Your Base Branch : ICICI BANK LIMITED
BRANCH, RAO SAHEB A.C.K.COMPLEX, NEAR
JUBILEE CIRCLE, P. B. ROAD, 580001
MR.DHRUVA V PARVATIKAR,SUREKHA D PARVATIKAR
S1, 2ND FLOOR ,14 ,MARUTI HSG SOCIETY
18TH MAIN VIJAYNAGAR : Visit www.icicibank.com
BANGALORE
KARNATAKA - INDIA - 560040
Å Dial your Bank 1800 1080
Joint Holders:
SUREKHA D PARVATIKAR

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 : XXXXX7229 as on June 30, 2023

ACCOUNT DETAILS - INR

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

Savings A/c XXXXXXXX4367 30,916.51 0.00 30,916.51 Registered

TOTAL 30,916.51 0.00 30,916.51

Statement of Transactions in Savings Account XXXXXXXX4367 in INR for the period June 01, 2023 - June 30, 2023

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-06-2023 B/F 25,362.23


VPS/MEDPLUS MC
01-06-2023 DEBIT CARD 5,346.00 20,016.23
/202306011319/315207484102/BANGALORE
01-06-2023 DEBIT CARD VPS/Reliance SM/202306011800/315212789724/BANGALORE 3,219.72 16,796.51
02-06-2023 ICICI ATM ATM/S1VDK510/CASH WDL/02-06-23 5,000.00 11,796.51
UPI/315312749424/IRCTC TICKET BO/irctc.cf@hdfcba/HDFC
02-06-2023 1,283.60 10,512.91
BANK LTD/HDF5138C995F8A8400BB9B90BCE9E9634AF/
02-06-2023 NET BANKING VIN/BHARTI AIRT/202306021006/315304607545/ 19.00 10,493.91
UPI/351919085861/NA/9972171916@payt/State Bank
02-06-2023 25,000.00 35,493.91
OfI/PTM7105f497f0ea41e694e457a6f566d8dd
02-06-2023 NET BANKING VIN/Airtel Paym/202306022231/315317380152/ 19.00 35,474.91
03-06-2023 NET BANKING VIN/Paytm Airte/202306030616/315300617695/ 65.00 35,409.91
VPS/BIG BASKET
07-06-2023 DEBIT CARD 291.00 35,118.91
/202306071013/315804221087/BANGALORE
08-06-2023 ICICI ATM ATM/S1VDK510/CASH WDL/08-06-23 4,000.00 31,118.91
08-06-2023 NET BANKING VIN/AMAZON /202306081951/315914996767/ 314.47 30,804.44
10-06-2023 NET BANKING VIN/BHARTI AIRT/202306101332/316108614161/ 19.00 30,785.44
10-06-2023 NET BANKING VIN/Paytm Airte/202306101500/316109348148/ 19.00 30,766.44
12-06-2023 NET BANKING VIN/Airtel Paym/202306121400/316308510142/ 19.00 30,747.44
12-06-2023 NET BANKING VIN/Airtel Paym/202306121431/316309518287/ 19.00 30,728.44
12-06-2023 NET BANKING VIN/BHARTI AIRT/202306121832/316313264127/ 209.00 30,519.44
12-06-2023 NET BANKING VIN/Airtel Paym/202306130216/316320800498/ 19.00 30,500.44
13-06-2023 NET BANKING VIN/PAYTM PAYME/202306131515/316409275777/ 49.00 30,451.44
16-06-2023 NET BANKING VIN/Airtel Paym/202306162116/316715426740/ 19.00 30,432.44
17-06-2023 ICICI ATM ATM/S1VDK510/CASH WDL/17-06-23 3,000.00 27,432.44
19-06-2023 NET BANKING VIN/BHARTI AIRT/202306191904/317013803808/ 19.00 27,413.44
NEFT-YESB31716319703-ZERODHA BROKING LIMITED NSE
20-06-2023 126.13 27,539.57
CLIENT-YESB0000001-002283000000071-YESB0000001
21-06-2023 NET BANKING VIN/Airtel Paym/202306210917/317103514859/ 290.00 27,249.57
21-06-2023 BIL/ONL/000682600472/COMMISSION/112917102124-10 3,663.16 23,586.41
21-06-2023 NET BANKING VIN/Paytm Airte/202306211321/317207480398/ 19.00 23,567.41
21-06-2023 NET BANKING VIN/PAYTM PAYME/202306212057/317215231322/ 19.00 23,548.41
22-06-2023 NET BANKING VIN/BHARTI AIRT/202306220655/317301880894/ 209.00 23,339.41
24-06-2023 NET BANKING VIN/Airtel Paym/202306241803/317512474987/ 49.00 23,290.41
26-06-2023 ICICI ATM ATM/S1VDK510/CASH WDL/25-06-23 3,000.00 20,290.41
MMT/IMPS/317707655124/NA 506917229/SANTOSH
26-06-2023 MOBILE BANKING 3,005.90 17,284.51
PA/CNRB0001146/chgRs5.00GSTRs0.90
27-06-2023 MOBILE BANKING MMT/IMPS/317811445117/IMPS/DHRUVAVPAR/Canara Bank 15,000.00 32,284.51
28-06-2023 CASH DEPOSIT CAM/73631ORY/CASH WDL/28-06-23 1,500.00 30,784.51
30-06-2023 017001504367:Int.Pd:30-03-2023 to 29-06-2023 132.00 30,916.51
Total: 40,258.13 34,703.85 30,916.51
Page 2 of 2 M-28927328-47337

Account Related Other Information

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

Savings XXXXXXXX4367 580229302 ICIC0000170 -

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

Sincerely, Legends for transactions in your Account Statement


Team ICICI Bank 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.
Card-blocking procedure for Savings Account:
Through iMobile Pay: iMobile Pay>Debit Card> Services> Cards Services> Block/Unblock Debit Card
Through Personal Banking:1800-1080 >IVR > Voice Assist> Say ‘Card Block’ or press ‘0’ in banking menu. > Enter details.
Through RIB: Service Request> Service List> Block Debit/ATM card option> Select the Card You want to Block> Submit.
Card-blocking procedure for Current Account:
Through InstaBIZ app > More > Services > Debit Card > Card Block / Unblock
Through Corporate Internet Banking > Service Requests > Debit/Inquiry Cards > Block Debit/Inquiry Card.

l There is a revision in the service charge for domestic Savings Accounts w.e.f. Oct 01, 2022. For details, l Do not fall prey to fictitious offers about winning prizes, money circulation schemes, cheap funds, etc. through
please visit https://www.icicibank.com/notice-board.page 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 customer, then
www.icicibank.com/managed-assets/docs/terms-condition/tnc-savings-account.pdf (Clause XV). the Form 15G/15H shall not be treated as valid and tax shall be deducted at the prevailing rate or at 20%,
l Bank’s Code of Commitment to its Customers and Micro and Small Enterprises (MSE): Please visit 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 framed in line l The address of the customer in Form 16A will be the last updated address in the data base of the income tax
with the guidelines provided by Banking Codes and Standards Board of India (BCSBI). department.
l As per the guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be generated l PMJJBY Insurance: The insurance premium is collected on behalf of ICICI Prudential Life Insurance Company
through the Income tax website for which the PAN of the customer needs to be necessarily updated in the Limited plus administration charges are collected by ICICI Bank (including GST), in line with the existing laws.
Bank's record. Effective Sep 01, 2018, a premium is charged on a pro-rata basis for all new enrolments in the scheme. It is
l Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation (DICGC) up to a noteworthy that the renewal premium for all existing customers shall be charged for a period of one year (i.e. Rs
330) between May 25 and May 31, every year. For details on the premium structure, refer to the Terms &
maximum of Rs. 5 lakh, for both principal and interest amount held by him/her in the same right and same
Conditions under the Pradhan Mantri Social Security Schemes at www.icicibank.com .
capacity.
l Please refer to the notice on our website regarding the revisions in IMPS charges for certain Current Account varia
l W.e.f Jul 1, 2023, a monthly limit will be applicable on ATM Cash Withdrawals using Debit Cards. (Minimum
nts. For details, visit
limit of Rs 2 lakh up to a maximum of Rs 7.5 lakh, as per product type). For details, please visit
https://www.icicibank.com/content/dam/icicibank/india/managed-assets/docs/service-charges/corporate/current-
https://www.icicibank.com/notice-board.
accounts/notice-for-revision-in-imps-charges-for-current-account-customers-1.pdf

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. SR224512319

Customers are requested to immediately notify the Bank in case of any error in the statement.

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