FASTag E-Statement

Bank Details Customer Details

Statement Reference Customer ID: 73282956 Address:
290324/184950/46
Number SONU YADAV
Name: SONU YADAV pillue ,
Name of ICICI Bank
Branch making the ICICI Bank Limited BKC khejur mod ,
Statement Period: 23-03-2024 to 29-03-2024 Path Kholi West - 277207,
supply:
Uttar Pradesh,
Bill From Address of ICICI Bank Towers, Statement Date: 29-03-2024 INDIA.
ICICI: Bandra Kurla Complex,
Mumbai 400071 Type of address: Permanent

GSTIN of ICICI: 27AAACI1195H3ZK GSTIN Number: N/A

Place of Supply: Uttar Pradesh State Code: 09

Vehicle Summary
Tag Account No. Licence Plate No. Group Trip Count Opening Balance (Rs.) Credit (Rs.) Debit (Rs.) Closing Balance
(Rs.)
34884316 UP60AN9721 Default 0 499.12 0.00 - 299.12 200.00
Total 0 499.12 0.00 - 299.12 200.00

Transaction Details
Date & Time Activity Unique Transaction ID Transaction Description Amount Amount
(Rs.)(CR) (Rs.)(DR)
UP60AN9721 - 34884316
23-03-2024 09:09:21 Adjustment Transferred Tag Deposit from Prepaid Toll 0.00 200.00
Balance to Deposit for Amount: Rs. 200.00, Tag
Serial No. : 1340123916
23-03-2024 09:09:21 Adjustment Charged Rs. 99.12 for Tag Serial No. : 0.00 84.00
1340123916 towards tag issuance fee
23-03-2024 09:09:21 Adjustment Charged Integrated Goods and Services Tax 0.00 15.12
(18.00%) Rs. 15.12 for Tag Serial No. :
1340123916 towards tag issuance fee Rs. 84.00

CUG Payment Details

No transaction details to display

GSTIN Details
Customer GSTIN
GSTIN of ICICI 27AAACI1195H3ZK N/A - Uttar Pradesh
- State
Unique HSN code Licence Plate No. Amount CGST @ 9% SGST @ 9% IGST @ 18% Total
Transaction ID
302553143 997119 - Tag Issuance Fee UP60AN9721 84.00 0.00 0.00 15.12 99.12

Customer State Transaction Value CGST @ 9% SGST @ 9% IGST @ 18%

Uttar Pradesh 84.00 0.00 0.00 15.12

Load by UPI
No transaction details to display

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 FASTag E-Statement
Important Messages
The Agency does not guarantee the accuracy of this information. For up-to-date account information, please contact our Customer Care at 18602670104.

* Date and Time for Activity type- Trip is the Trip Date & Time, not the Transaction Posting Date & Time

‡ With effect from 01/07/2017,Goods and Services Tax will be applicable on the services which include IGST @ 18%, CGST @ 9% and SGST @ 9%.
‡ Our registered office address : ICICI Bank Limited, "Landmark", Race Course Circle, Vadodara - 390 007, Gujarat, India.

Declaration For ICICI Bank Limited

Authorized Signatory

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