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MHW1/181D/1-1/WBF-M/03-12

091401512018??SAYA3103 743424

MR.SAYAN SARKAR Yo ur Bas e Branch: BASIRHAT BRANCH,

BHAWANIPUR,,PO.-BASIRHAT COLLEGE, DIST.- 24
DEBALAY AMBIKANAGAR,.,PASHCHIMPARA,. PARGANAS,743412
NORTH 24 PARGANAS
WEST BENGAL - INDIA - 743424 Vis it www.icicib ank.co m
Dial yo ur Bank 8101667777

Did yo u kno w? It's m and ato ry to b e KYC co m p liant as p e r RBI guid e line s . If yo u have no t s ub m itte d yo ur KYC d o cum e nts , p le as e vis it the ne are s t
b ranch o r co ntact yo ur Re latio ns hip Manage r to co m p le te KYC d e tails fo r yo ur Acco unt.

Sum m ary o f Acco unts he ld und e r Cus t ID: 575891778 as o n March 31, 2023
ACCOUNT DETAILS - INR
ACCOUNT TYPE A/c BALANCE(I) FIXED DEPOSITS (LINKED) BAL.(II) TOTAL BALANCE(I+ II) NOMINATION
Savings A/c 091401512018 0.00 0.00 0.00 No t Re gis te re d
TOTAL 0.00 0.00 0.00

State m e nt o f Trans actio ns in Savings Acco unt Num b e r: 091401512018 in INR fo r the p e rio d Ap ril 01, 2022 - March 31, 2023
DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE
01-04-2022 B/F 0.94
UPI/213212956181/UPI/s ayan.ranb ir@o k/State Bank
12-05-2022 Of I/SBI508e b 50ce 73447d 8b f132e 7033e 027cb 750.00 750.94
BIL/NEFT/000396924647/9046514455/NEBLIO
12-05-2022 TEC/HDFC0000240 750.00 0.94
MMT/IMPS/235812980418/FUNDS
24-12-2022 MOBILE BANKING TRANSFER/NEXTBILLIO/Ye s Bank Ltd 1.00 1.94
UPI/235894656746/UPI/s ayan.ranb ir@o k/State Bank
24-12-2022 Of I/ICIcfe 214936f16418e ae 65229ab 5e ad e 59 150.00 151.94
UPI/235818359581/Ne xtBillio nTe ch/b s e s tarm frzp @i
24-12-2022 c/ICICI 150.00 1.94
Bank/ICIa7b c71cfe b e 7444a91432399a82f8cfc/
26-12-2022 DCARDFEE0073DEC22-NOV23+ GST 1.92 0.02
27-12-2022 BANK CHARGES DCARDFEE0073DEC22-NOV23+ GST 0.02 0.00
UPI/300413430123/UPI/s ayan.ranb ir@o k/State Bank
04-01-2023 Of I/HDF51599fb 90aff46e 79b a9c31873e 8b d b 3 6,000.00 6,000.00
UPI/300479587054/UPI/s ayan.ranb ir@o k/State Bank
04-01-2023 Of I/ICI05255f24c1c84ab d b 628115850e 502a2 1,000.00 7,000.00
BIL/ONL/000574387178/One 97
04-01-2023 Co m m /301045593199424 6,494.00 506.00
UPI/300498088191/UPI/s ayan.ranb ir@o k/State Bank
04-01-2023 Of I/ICI252e 5cb 9374449739e 3a1e 5103d 0aa6a/ 506.00 0.00
UPI/303123611526/UPI/s ayan.ranb ir@o k/State Bank
31-01-2023 Of I/SBI2e 9881fe e d b 64011b 548b 8d 880e b 3636 150.00 150.00
UPI/303112284896/PayviaRazo rp ay/b s e s tarm frzp @i
31-01-2023 c/ICICI 150.00 0.00
Bank/ICIa5c38387cc584fe 881f03cb 461c4a379/
UPI/304655280418/UPI/s ayan.ranb ir@o k/State Bank
15-02-2023 Of I/ICI324cb 62d 1e 954ad 5b 4e 6ad c380303519 1,793.00 1,793.00
UPI/304699786941/UPI/s ayan.ranb ir@o k/State Bank
15-02-2023 Of I/ICI44fa70616e b 84c08b 24c41e e 295283c0/ 1,793.00 0.00
UPI/305986627602/UPI/s ayan.ranb ir@o k/State Bank
28-02-2023 Of I/ICI4e 84069932a5407094353d 2ffc4a9151 150.00 150.00
UPI/305961739353/PayviaRazo rp ay/b s e s tarm frzp @i
28-02-2023 c/ICICI 150.00 0.00
Bank/ICIe c44c064d f864b a0b d c544e 2d e e 4b b 55/
UPI/307645381599/UPI/s ayan.ranb ir@o k/State Bank
17-03-2023 Of I/SBI1b 871073246f4c9183d 66d 37200d 9214 1,000.00 1,000.00
17-03-2023 GIB/000097376562/DTAX /23031700444075ICIC 1,000.00 0.00
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MR.SAYAN SARKAR

DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/308793268004/UPI/s ayan.ranb ir@o k/State Bank
28-03-2023 Of I/SBI25ab e 9874cac4381ab e 8567f1d aa8f07 150.00 150.00
UPI/308765947967/NA/m o b ikwikad d m o ne /ICICI
28-03-2023 Bank/HDFD66BCEBCCE874848B115BC312B47596C/ 150.00 0.00
TOTAL 11,144.00 11,144.94 0.00

Acco unt Re late d Othe r Info rm atio n

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFSC CODE NAME OF NOMINEE
Savings 091401512018 700229502 ICIC0000914 -

No m ine e nam e is d is p laye d o nly o n s p e cific co ns e nt o f cus to m e r.

Since re ly,

Te am ICICI Bank.

This is a s ys te m -ge ne rate d s tate m e nt. He nce , it d o e s no t re q uire any s ignature .

Le ge nd s fo r trans actio ns in yo ur acco unt s tate m e nt

VAT/MAT/NFS - Cas h Withd rawal at o the r b ank's ATM INF - Inte rne t fund s trans fe r in Linke d acco unts
EBA - Trans actio n at ICICIDire ct BIL - Inte rne t b ill p aym e nt o r Fund s trans fe r to third p arty
VPS/IPS - De b it card trans actio n TOP - Mo b ile Re charge
RTGS - Re al Tim e Gro s s Se ttle m e nt (Ins tant Trans fe r o f Rs 2 Lakh and up to Rs 10 Lakh) NEFT - Natio nal Ele ctro nic Fund Trans fe r (Up to Rs 10 Lakh)
• **Mo d e is availab le o nly fo r trans actio n d o ne afte r Augus t 6, 2013.

• As p e r p re vailing guid e line s o f the Inco m e tax Act, 1961 if a valid PAN is no t p ro vid e d b y the
Cus to m e r the n tax s hall b e d e d ucte d at the p re vailing rate o r 20% , whiche ve r is highe r.
• As p e r guid e line s is s ue d b y CBDT o n May 13, 2011, Fo rm 16A (TDS Ce rtificate s ) will b e ge ne rate d
thro ugh the Inco m e tax we b s ite fo r which the PAN o f the cus to m e r ne e d s to b e ne ce s s arily up d ate d
in Bank's re co rd .
• In ab s e nce o f valid PAN, Fo rm 15G / 15H s hall no t b e tre ate d as valid and tax will b e d e d ucte d .
• In cas e yo ur PAN is no t up d ate d in o ur re co rd , p le as e vis it the ne are s t b ranch and p ro vid e a co p y
o f the PAN card alo ng with the o riginal PAN card fo r ve rificatio n.
• The ad d re s s o f the cus to m e r in Fo rm 16A will b e the las t up d ate d ad d re s s in the d ata b as e o f the
Inco m e tax d e p artm e nt.

REGD ADDRESS: “LANDMARK”, RACE COURSE CIRCLE, VADODARA - 390 007, INDIA www.icicibank.com
This is an authe nticate d intim atio n/s tate m e nt. Cate go ry o f s e rvice : Banking & Financial Se rvice s .
Cus to m e rs are re q ue s te d to im m e d iate ly no tify the Bank o f any d is cre p ancy in the s tate m e nt Re gis tratio n No . MIV/ST/Bank & Finc/4.
MHW1-WBG-M-05-Mar-12/148405000053 - 525322040/207/207 - Utility - 1 o f 1 PAN Bas e d STC No . AAACI1195HSST001.