Poge 1 of 4 tv1-26541006-10931

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:BANKINC

zLaLoo 1265 4too6- 1093 1/1-4lRESTS/o5-0 1

Your Bose Bronch : lclcl BANK LIMITED

BRANCH, NO,937/S(147, HOPE FARM.
WHITEFIELD, 560066
MR.VENK,ATA SIVA GANESH ASAPU
21 I,UNtTED ELYSIUM,2ND FLLOR,SEEGAHALLI
KRISHNARAJAPURA,NEXT TO AXIS BANK
BANGALORE
KARNATAKA - INDIA - 560067

STATEMENT SUMMARY for Customer lD : XXXXX7686 os on April 30,2023

ACCOUNT DETAILS - INR

ro # ffiurNai$r'ri
Sovings A-/c XXXXXXXX38O3 1,8L,989.74 0.00 L,8L,989.74 Registered

TorAL 1,81,989.74 o.ob L,gL.sag.74

Stotement of Tronsoctions in Sovings Account XXXXXXXX38o3 in INR for the period April OL,2023 - April 30, 2023
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uk+{Uik r),,,u."...
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.: ...

0t-o4-2023 B/F 2,73,96t.67

UPV3 457 6A547 7 L8lPoyment f rom
01,-04-2023 Ph/RAZORPAYONLI N E@/Yes Bonk 5,309.92 ?,68,65L.75

03-o4-7023 406.00 2,68,245.75

03-04-2023 187.00 2,68,058.75

UP V3 45A L57 t 19 LGI Oid20Z3O 4OZ t t0 1/poytm-3 2379845@/Po
a3-a4-2023 65.00 2,67,993.75
... )tm Poyments /PTMC372C2699A284C638F3AD5F20004406E
a3-04-2423 BIUN EFT/O006377 52153lCor loonlcANESH SBI/SBl N00 1 1290 16,201.00 2,5t,7-92.75
UPV3O,2626 4037 llUE 2 1 Uvinodpkoti. 3 5. lrBonk of
03-o4-2023 240.00 2,5t,552.75
lndio/1C1333ob453652o4q9q8c8 1bd qof do7 t449l
UPI/3458999920801/ou ore poying/omozon@yopl/Yes Bonk
03-04-2023 1,679.00 2.49.87 3.75
Ltd/APYO
UPI/30938092901UUpi Tronsoction/llipkort.poyu@hiHDFC
03-o4-2023 4,699.00 2.45,77 4.75
BANK LTD/HDFD91DCDAE51A84B428O586B4CC32C8OC3/
U PIl346066193 509/UE 2 L 1/sothyonoroyonos/Stote Bonk of
04-o4-2023 77.00 2,45,497.75
l/lCl4bfc513ebf 5e41e1be882bf b3c83 1f b4l
0 Pl I 3 46059 47 435 4l Oi d2O23O 40 4Og5B/poytm 13433110@/Po
04-o4-2023 825.00 2.44.272.75
ytm Poyments /PTl,/ 1B9B2EC291FF464CBCA8BB4863666C8E
uPl/30948 1 25948 4t Oid2O23O4047O04rpoytm-51 166769@/Po
04-04-2023 ytm Poyments 365.00 2,43,907.7 5
/PTl\,,t839EBE469D4B4B 1EBO32F73ADDB945BB
04-04-2023 145.00 2.43,762.75

04-04-2023 70.00 2,43,69?.75

05-04-2023 LPBNGXX45982 APR23 Venkoto Shi 2,LL,1-07.75
05-o4-2023 ACH/H DFCLTD/0564338080 75
UPI/3C9511631619/UPl/r50834690@oksbi/Stote Bqnk Of
05-04-2023 75
l/lCl9 170c9f6 1 5d3445boo780 1904b09c855/
VPS/ROLI.A
05-04.2023 DEBIT CARD 75
HYPER/202304052t27 /30951,57 23064/BANGALO RE
UPI/3O959O19I17Orno/jiomortgrocery@Yes Bonl,
05-04-2023 45.75
Ltd/ICIWCEBFF : A2C5O23 4 4BF 4E6 BB FA E7 2C E7 B 5/
06-04-2023 cMsrRANsAcroN CM5100LL80427795/ADINGEN_GODREJ FTNANCE LtMtTED
.0151
06-04-2023 DEBIT CARD VPS/Shell lndio/202304061600/309610755930/BANGALORE
UptiSOSOZSZOegSTlUPllpoyrmqrlEl.Oos0s/Porrm Poyments'
06_04_2023
llcl305o7 924167 e442e8debB 1ee7 Lb 445aol
UP|/309664879385/UPl/poytmqr28100505/Poytm Poyments
06_04_2023 llCl567 4A0Oe7 23e 457 48eo38113263o6o87 I
U Pll34629 1823850/NA/poytm-56747221@ lP oyrm Poyments
06-o4-2023 91.960_75
t7l
UPI/309662884 14lDummy descripti/indigo@oxisbonk/Axis
1
06-04-202 3 150.00 91,810.75
Bonk Ltd./AXl99f2b5de to27 441 eb35e5oo16d23950f/
UPV3 4637 268647 ZIUPV q!t?05323@ybl/Yes Bonk
07 -04-2023 1,662.00 90,148.7 5
UP|/309763191,753/UPl/poytmqr28100505/Poytm Poyments
O7_O4_2O23 90,048.75

90,048.75
 s
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:BANKING

Stotement of Tronsoctions in Sovings Account XXXXXXXX38o3 in INR for the period April 0L,2023 - April 30, 2023

07.04.2023 CREDIT CARDt ATD/Auto Debit CC5xx5000 7,375.O0 82,613.75

LDYSOgTgl4OS5T4tUPllvenu.nosimondlorAx s Bork
07 -04-2023 1,982.00 80,691.7 5
Ltd./lClc28c08f B 1co44bof 97of 8e0 10boed0e 1/
UPI/346400194555/NA/oriona.ccov@hdf/HDFC BANK
0B-04-2023 10,000.00 70,697.75
LTD/PTl\,4DB87F9C999FE47FDB3C3F6BFD7EAADO3/
UPV346469226951r Poy To SR I N I D H l/bhqrq tpe.9O500 1/Fede, ol
08-04-2023 504.00 70.7a7.75
Bo nk/lClf 9f d 1B0e 127 2 4847 99AI5e 7 4ccgeeT del
U Pll309809032960/U Pl/gpoy- 1 1 1B 4229 40 I Axis Bonk
08-04-2023 3,200.00 66.987.75
Lrd. I lclf I e L c2d7 t26b 4t 3 db 4A9 e7 7 L3 4t 7 BAdb I

08-04-2023 630,00 66.357.75

08-04-2023 900.00 65.457.75

08-04-2023 70.00 65,387.7 5

LO.O4-2023 DEBIT CARD 6,722.00 58.665.75

L0-04-2023 528.00 58,1-37.75

VPS/ROLLA
LO-04-2023 DEBIT CARD 503.00 s7:634.7s
HYPER/20230410 1006/3 100046 19 1 34/BANGALO R E

U Pll3466589 13340/Oid20230410 poylm -7 L42AO29@ lP o

10 L3 I
10-o4-2023 50.00 57,584.75
793
UPI/3 10008981354/UPl/ovinoshkonthilo/Bonk of
ta-04-2023 20,000.00 37.544.7 5
Borodo/l
10-04-2023 BrL/N EFTio0064526607 l/LAPAr'EN KATA St/lCtC0000 103 1o,ooo.o0
U Pll346633681813iPoy To SRINIDH l/bhqrotpe.90500 L/Federol
t0-04-2023 105.00 27,479.75
b28d3df1b 13/
U P|i346646 190576/Oid207 8530927 4@/poytm-ptmbbp@po/P
L0-04-2023 2,416.00 25,063.75
oytm Poyments /PAYTM 30410 14696693222 4 1320230 4L005 I
VPS/SHRISHTI
L0.04.2023 DEBIT CARD 2,000.00 23,063.75
FU 120230 4 L0 L925l3 100 13642080/8ANGALORE
UPI/3 10065386542/UPy9986923881@ibl/Stote Bonk
LA-04-2023 300.00 22,763.75
Of l/lCl3ec6bd29df 1640c283 5100b02f66ff e9/
UPI/3 1004809026 4lUP ll poytmqr29100505/Poytm Poyments
10-04-2023 280.00 22,483.75
/lc b4cgdbf b6c004e5d854f 3 5dd6f 434185/
I

U Pll34662 1895193i U Pl/poytmq12S 100505/Poytm Poyments

70-04-2023 120.00 22.363.75
/lC l0cbobee2e Lf 4445c8490762(bo06413d/
U Pll346625798406/UPl/poytmqrr2S 100505/Poytm Po ym e nts
200.00 22,163.75
lo-44-2023 /l C e0of3 60d4 If 14 1 5 283 b3 b39d 2e98cdof/
I

UPI/3 1O 104357847/no/jiomortgrocery@ffcs Bont,

Ll,-04-2023 t,440.00 20,723.75
Ltd/ICIWC DC3AF6DBAD2 D F8AA7OD48243 E 588C3/
UP V3 467 6 73O52521UP ll poytmqr?E t00505/Poytm Pqyments
LL-o4-20?3 76.00 20.647.75

L7-O4-2023 230.00 20,417.75

/lCl3l b3f 7 7 57 e62 4 4dt 83b83 82d 6 4 L929 0f I
UPll3467 52 L2OOOSiPoy To SBINIDHI/bhorotpe.905001/Federol
t7-o4-2023 280.00 20,137.75
Bqnk/lCleSo 5d3e03df 34253b28f 348f 9 13cb064/
U Pll3 -t014623 138 StUPltq2 /5 / 86696@ybll/es Bo nk
LL-04-2023 630.00 L9.507.75
Ltd/lCl8f 49b3ob1Oco4c 1 b9bc108f 8od040f 30/
UPlt3 467 84227 60$/lJPl/poytmq12B LOO5O5/Poytm Poyments
LL-04-2023 13 5.00 L9,372.75
ilCI 58o3360 16cf 94c6e8do892ec8f 7b6f de/
U Pll346809614397/Poy/bdgpoy.bescom@h/H DFC BANK
12-O4-2023 450.00 14,922.75
LTD/PTM9BD844EEOOB54D9A84F7 A99 LFO 40 LF C 7I
UP V3 tO23 464967 3/Poy To SRINIDHI/bhorotpe.90500 UFederol
1,2-O4-2023 1A,7A2.75
BonUlCl4lcTo 1e864ed4bf 182d1eo57 005bb4bf I
UPI/3 1034988 1139/UE21 1/sothyonoroyo nos/Stote BonkOf
t3-04-2023 ylCl955f 35f 1bfg144f 98deo00 1ed2666f 89/ L.75
UPI/3 10461599137/Oid20831934997@/odd-money@poytm/P
74-04-2023 oltm Poyments 2L.75

UPI/347068598651/UPl/subromonyo.hebr/Union Bonk of
r4-04-2023
l/1C16e0e5o70e5234288o22f6582c950c1b8/
UPy310413830274/no/jiomortgrocery@^/es Bqnk
L4-04-2023

t4-04-2023
Ltd/lclwc3 541cAA065A65720CE0 CBD37 7 0646A1
UPI/347095982002/You qre pqying/qmozon@yopll/es Bonk
k
Ltd/APYO 187804bb2559b 1o bf2e0TeBdq 18335d/
UPI/3 105 10615406/UPUpoytmqr28100505/Poytm Poyments
15-O4-2073
/lClb 1o 50 17d9f39 428dBllI8dofc7256f01/
UPI/3 105999 16049/U Pl/poytmqr28100505/Poytm Poyments
!5-O4-2023 .75
ACl6657 7 4f 27 46b4844o 4e92f oo3 ce86237 I
UPI/3 105409 18377 IUP ll paytmqr28lo0505/Poytm Poyments
1,5-04-2023 L4,692.75
U Pll3 106587399021UP I q1t205323@ybl/Yes Bonk
77 -04-2023
I

302.00 L4.390.75
Ltd I I Cl o 125 e7 7 4o33f 450e9ff 7 $t8OA9277ogl
I t'-t .'l
r,.Trotirl:
, _.,t, p;00 75,658.00 14,390.75
 Poge 3 of 4 [/-26541006-10931
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BANKING

Stotement of Tronsoctions in Sovings Account XXXXXXXX38o3 in INR for the period April 01,2023 - April 30, 2023

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

40.00 14.350.75

50.00 14,300.7 5

120.00 1,4.1,80.75

1 198:00 L2,982.75

1,263.00 Lt.779.75

4,895.01 6.424.7 4

UPI/3 10665673788/UPl/poytm- 1340 1518@/Poytm Poyments

t7.04-2023 2,000.00 4.424.7 4
ltct
UPV3 47 3286957 4/UP ll paytmqr2Sl-o0505/Poytm Poyments
5
t7 -04-2023 1,440.00 3,384.7 4
I I Cl7 c 4b7 B 19b o c7 427 88 4 o 4t 67 5 ef e 45 a8 4 I

UPI/31093253 109 4lUPll q1.L205323@ybl/Yes Bonk

t9-04-2023 818.00 2,566.7 4
Ltd/lCl3076efd9c0of 4969b8c7ed 5co olt clbc/
VPV3 47 564L60 L82lUE2 1 Usothyonoroyonos/Stote Bqn kof
79-O4-2023 70.00 2,496.7 4
l/lCl48409ff bc5e04f 55b97deeBf490c8e9B/
20-o4-2023 2.436.74

20-04-2023 2,236.7 4

20-04-2023 2.t2t.74

20-o4-2023 2.03L.7 4

20-o4-2023 1,97t.7 4

UP!/311109101431/Poy To SRINIDHI/bhorotpe.905001/Federol
2L-04-2023 70.00 t,907.7 4
Bqnk/lClqc547fdb9 4 /7 47 Lebo955807 397 Tbc29l
NEFT-KKBK23 11 15923816-KOTAK SECURITIES LTD
2L-04-2023 20,000.00 2t,907.7 4
1 1-KSpAyO UT-095820000007 7 7 -KK8K0000958
UPV3 7116 7 4109 44lUPllpoytmqr2B 100505/Poytm Poyments
2L-04-2023 479.OO 2t,422.7 4
/lCI0deSoee 1b3054129989ce430f80cceod
U Py347815436960/UPl/poytmqr28100505/Poytm Poyments
22-04-2023 40.00 2t,382.7 4
ACl2d LL5 fi oA7 7 7 4e7 487 08ceo 4c902d o 4l I
UPV3 f L27 1849266/UPl/poytmqr2S 100505/Poytm Poyments
22-04-2023 50.00 2L.332.7 4
/lCl34d6o
282.00 21,Q50.7 4

1,000.00 20,o50.7 4

24-04-2023 2,195.00 77,455.7 4

24-O4-2023 24.00 77.83r.7 4

24-04-2023 90.00 17,74L.74

eoyments
24-04-2023 L7,02L.7 4

25-04-2023 .74
U Pl/3 538937932/UPl/poytmq128100505/Poytm
11 Poyments
25-O4-2023 .74
/lCl 5f c24c88386c4od3940oB9e6ed
' UPV3!757 7448966/UPl/poytmqr28100505/Poytm Poyments
25-04-2023
llClf 7 5f c2B9 o 47 34c5cb0d6 1 10B4B9d4f 5e/
UP V3 t L56 4 4 47 Lt3 I Oid7O9O39O 47 41@/odd-money@poytm/P
25-O4-2023
oytm Poymenls /PTM23B5C 1488430 437 1B82EF8E4E119 1343
UP V3 4A268 47 62a9lUP l/poytmq r28 100505/Poytm Poyments
26-O4-2023
/lCl0269f e054f d b 47 I 7 86e cezcSoeo'T e7 9 I 12459
UPI/3482599855441P oy f o SRINI DH l/bhorotpe.905001/Federol
26-O4-2023
BontdlClS2S5df o9cc814cbobe8fo5f Lf c7 o54951
U P U3 7 L667 5525 L 4 I Oid2023 0 426 L944lpoytm- 1 340 1 5 18@/Po
26-O4-2023 .74
18 784678 E 5A0B 6 5AC
UPV3 7L7 243 159A6/NA/962007 1325@poyVSto ndo rd
27 -04-2023 50.00 73,032.7 4
C horte/PTN.473ed6o280do94oo 396eeo bfoo 14eo 2ff

UPY348350030626/Poy To SRINIDHI/bhorotpe.905001/Federol
27 -04-2023 180.00 72,852.7 4
Bo nk/lC I b302e9 128b90490db 1b69 16923c0ddo 5/
UPI/34849545082oiuP|/q 11205323@ybl/Yes Bonk
28-04-2023 457.00 12.395.7 4
Ltd/lCf 690c86f 4100640e39d7540c9 cb1dl 2781
NEFT-N 118232436074490.RELIANCE DIGITAL PLATFORM
28-O4-2023 t,72,784.OO 1,84,579.7 4
AND PROIE--57500000388972-HDFC0000240
uP v3 4A 4A6 4697 99 I Oidgg47 923O 428 lipoytm-399538@po/Po
2A-O4-2023 390.00 1,84,789.7 4
ytm Poyments /PTtil 1EgC97F168D4419D856148218E6D6503
:
Totol: r,s2,2g4.oo 22,435.0L L,44,149.74
 '#--* Wmrxk | *nayaat aapka
Poge 4 of 4 M-26541006-10931

ft1VA
i-^Hp,^#

stotement of Tronsqctions in sovings Account XXXXXXXX38O3 in INR for the period April
OL, zaz3 - April 30, 2023
,^O;r, r,noog',,. - ;;- , DEPOSITS WITHDRAWALS BALANCE
29-04-2023 U 7686220/UP l/poytm-399 538@po/Pqytm Poyments
960.00 7,83,229.7 4
29-04-2023
180.00 1,83,049.74

29-44-2023 oytm Poyments

1,000.00 1,82,A49,7 4

29-04-2023 uPv34a523 Poyments

/lClfe3929e48qo 5 4qI3h7 e5234ct 187 eSdT I 60.00 L.8L,9A9.7 4
Totol: 0.00 2,200.oo

Account Reloted Other lnformotion

:\1il15\'iff;:(0,3 {,X8-r16,1=.ryd,;yane'Nllrr
Sovings XXXXXXXX3sO3 s60229066 ICtC0002181
* Nominee nome is disployed
only upon specific consent of the customer
Sincerely,
Legends for tronsoctions in Account Stotement
Teom lClCl Bonk VAT/N,4ATINFS- Cosh Withdrowol ot other bonk s ATN,I - lnternet funds tronsfer in linked occounts
EBA-Tronsoction ot iClClDirect BIL lnternet bill poyment or funds tronsfer to third porty
VPS/IPS-Debit Cord tronsoction TOP - lt4obile Rechorge
RTGS-Reol Time Gross Settlement ( nstont tronsfer obove Rs 2 Lokh) NEFT Notionol Electfonic Fund Tronsfer
This is o system-generoted stotement. Hence, it does not require ony signoture.
You con now downlood the Account stotement using the iMobire poy opp ond
rnternet Bonking.
Cord-blocking procedure for Sovings Account:
Through iMobile Pqy iN,4obile poy>Debit cord> seryices> cords setuices>
Blocldunblock Debit cord
ThroughPersonolBonking:1800-1080>lvR>voiceAssist>soy cordBlock'orpress'o'inbonkingmenu.>Enterdetois.
Through RIB: Seruice Request> Seryice List> Block Debit/ATM cord option>
setect the Cord you wont to B ock> submit.
Cqrd-blocking procedure for Current Account:
Through lnstoBtz opp > More > Setuices > Debit Cord > Cord B ock / Unblock
Through Corporote lnternet Bonking > Setuice Requests > Debit/tnquiry Cords >
Block Debit/lnquiry Cord.

0 ? Il AY ?023

s.&1.
. There is o revision n the servce chorge for domestic Sovings Accounts
AND
w.e.f.
pleose v sit hftpsi//www.icicibonk.com/noti.e boord.poge winning
. There is o chongc in the Terms ond Conditions for So otu
of the ncome Tox Act. 1961, f
os volid ond tox shoil rote or ot 20ol0.
Bonk's Code of Comnitilent to its Customers ond Mi.ro and Smol online or ot the neorest
www.icic bonk.com > About Us,> Notice Boord,> ,Code of Commitment..
Code hos been frodAfiA customcr in Form 164 will be th. ost lpdoted oddress
w th the guidelincs prov dcd by Bonking Codcs ond Stondords Boord of (BCSBD, n the doto bose of thc incom. tox
. As per the guidclines ssued by CBDT on [lov 13.2011. Form 164 Certificotes) will be g.neroted PMIIBY lnsuronce: The insuronce premium s corected on behorf of ccl prudento Lifc
thro!gh the lncome tox website for whtch th. pAN of the customer to bc necessorily updoted n the
rnsuronce compony
Lmted pus odnrinistrotion chorges ore coilected bv rccr Bonk (incruding GST), n rinc wrh the
existing rows.
Effective sep 01, 2018. o premium is chorged on o pro roto bosis for o[ new enrotmcnts
. Eoch d.posltor is insured by the Depost nsuronce ond Crcctt n the scheme. ]t is
Corporoton (DICGC) up to o notewodhv thot the renewo prcmium for oil existing customers sho be chorg.d for o perjod
of one ycor (i_e. Rs
trrox mum of Rs. 5 okh. for both pr nc po ond nterest omount by him/her n the sonrc right ond somc 330) bdween Mov 25 ond Mov 31, every ycor. For detoirs on the premum structure.
rcfcr to the Terms &
Condtonsunderth.ProdhonMontrtsocio SccurityS.hemesstwww.icicibonk.com.

CorporoteOff c€: C Cl 8onkLtd., CIC BonkTowcrq. Mumbo -400051. ndio.

Rcg stered Officc: lClCt Bonk Tower, Neor Chokti C r.te, Oid podro Cotegory of scrv cer Bonk ng & Finonc ol Services.
Vododoro, cujorot. p n 390 007. Reqistrotlon No. MIV/ST/Bonk & Finc/4
This is on outhenticoted intimotion/stotemcnt. CIN : 165190c11994P1C021012
Custom.rs or. requested to immediotely notify the Bonk in cose of ony e.ror
tn rhc stotenrent.
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