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MHW1/181D/1-1/WBF-M/03-12
115901502754??ELDH2802 670721
Did you know? It's mandatory to be KYC compliant as per RBI guidelines. If you have not submitted your KYC documents, please visit the nearest
branch or contact your Relationship Manager to complete KYC details for your Account.
Summary of Accounts held under Cust ID: 549602260 as on November 08, 2022
ACCOUNT DETAILS - INR
ACCOUNT TYPE A/c BALANCE(I) FIXED DEPOSITS (LINKED) BAL.(II) TOTAL BALANCE(I+II) NOMINATION
Savings A/c 115901502754 160.17 0.00 160.17 Not Registered
TOTAL 160.17 0.00 160.17
Statement of Transactions in Savings Account Number: 115901502754 in INR for the period August 08, 2022 - November 08, 2022
DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE
08-08-2022 B/F 1,204.27
UPI/221978812930/Slice/sobinsunnymail@/Federal
08-08-2022 Bank/YBL302ce0ebc8084738bcd6f1b7a52d458b 2,000.00 3,204.27
UPI/222010430163/collectpayreque/airpay.airp1100/
ICICI
08-08-2022 Bank/COB9B1FB0474EFA49519DC9A25980DD80C0 1.00 3,203.27
/
UPI/222011020450/collectpayreque/airpay.airp1100/
08-08-2022 ICICI 1.00 3,202.27
Bank/COB7BF37C2C5EA3468EB83372D098BE0432/
UPI/222011040468/collectpayreque/airpay.airp1100/
08-08-2022 ICICI 1.00 3,201.27
Bank/COB7BBA947347374F229BFC3B41DECC1E7E/
UPI/222011130593/collectpayreque/airpay.airp1100/
ICICI
08-08-2022 Bank/COB9769FAAB2E9C413F88EDDEC0EE9D4904 1.00 3,200.27
/
UPI/222011200698/collect-pay-
req/airpay.airp1100/ICICI
08-08-2022 Bank/COB37AB9AB373C743D8916776154A0DAE8D 1.00 3,199.27
/
UPI/222011551229/collectpayreque/airpay.airp1100/
08-08-2022 ICICI 1.00 3,198.27
Bank/COBE0E7DC3D281544F5BBE256C6871AF177/
UPI/222038477479/Upi
08-08-2022 Transaction/flipkart.payu@i/ICICI 449.00 2,749.27
Bank/ICI8629d5a89bb445c1a10d28145834dd5c/
UPI/222039396179/UPI
08-08-2022 Payment/akhilappuz1996@//ICI3f82cad98b794917a 2,000.00 749.27
a6457176ec9380f/
UPI/RVSL222039396179/UPI
08-08-2022 Payment/akhilappuz1996@//ICI3f82cad98b794917a 2,000.00 2,749.27
a6457176ec9380f
UPI/222039399975/UPI
08-08-2022 Payment/akhilappuz1996@//ICIf2623459872347c78 2,000.00 749.27
32b47759f21420d/
UPI/222147782064/NA/csl-fz.airpay@s/State Bank
09-08-2022 OfI/SBI7E7C651F3588495DA323B2B8F76E0542/ 1.00 748.27
UPI/222147793908/NA/csl-fz.airpay@s/State Bank
09-08-2022 OfI/SBI302C09766BB444ABA91E1C69511D36A1/ 1.00 747.27
Page 2 of 14
MR.ELDHOSE E J
MR.ELDHOSE E J
MR.ELDHOSE E J
MR.ELDHOSE E J
MR.ELDHOSE E J
MR.ELDHOSE E J
MR.ELDHOSE E J
MR.ELDHOSE E J
MR.ELDHOSE E J
MR.ELDHOSE E J
MR.ELDHOSE E J
MR.ELDHOSE E J
MR.ELDHOSE E J
Authorised Signatory
• As per prevailing guidelines of the Income tax Act, 1961 if a valid PAN is not provided by the •In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
Customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher. •In case your PAN is not updated in our record, please visit the nearest branch and provide a copy
•As per guidelines issued by CBDT on May 13, 2011, Form 16A (TDS Certificates) will be generated of the PAN card along with the original PAN card for verification.
through the Income tax website for which the PAN of the customer needs to be necessarily updated •The address of the customer in Form 16A will be the last updated address in the data base of the
in Bank's record. Income tax department.
REGD ADDRESS: LANDMARK, RACE COURSE CIRCLE, VADODARA - 390 007, INDIA www.icicibank.com
This is an authenticated intimation/statement. Category of service: Banking & Financial Services.
Customers are requested to immediately notify the Bank of any discrepancy in the statement Registration No. MIV/ST/Bank & Finc/4.
MHW1-WBG-M-05-Mar-12/148405000053 - 525322040/207/207 - Utility - 1 of 1 PAN Based STC No. AAACI1195HSST001.