Page 1 of 2 M-3231673

026515/3231673/1-2/RESGB/03-3
Your Base Branch : BOKARO BRANCH, B-11, CITY
CENTER,GROUND FLOOR, SECTOR -IV, MAHATMA
GANGHI MARG, 827004
MR.NIRANJAN BEHERA
A 255,SECTOR-2,ROURKELA,06 RAURKELA ITS,
ODISHA,ROURKELA 6 SUNDARGARH : Visit www.icicibank.com
SUNDARGARH
ODISHA - INDIA - 769006 Å Dial your Bank 8102667777

NEVER SHARE your Card number, CVV, PIN, OTP, Internet Banking User ID, Password or URN with anyone, even if the caller claims
to be a bank employee. Sharing these details can lead to unauthorised access to your account.

STATEMENT SUMMARY for Customer ID : 553699411 as on February 28, 2018

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c 026501521918 11,708.07 0.00 11,708.07 Registered

TOTAL 11,708.07 0.00 11,708.07

Statement of Transactions in Savings Account 026501521918 in INR for the period February 01, 2018 - February 28, 2018

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-02-2018 B/F 12,564.65
01-02-2018 OTHER ATMS NFS/CASH WDL/01-02-18 500.00 12,064.65
01-02-2018 OTHER ATMS NFS/CASH WDL/01-02-18 500.00 11,564.65
01-02-2018 DEBIT CARD VPS/SAIL BSL GN/20180201165656/0 300.00 11,264.65
02-02-2018 OTHER ATMS NFS/CASH WDL/02-02-18 1,000.00 10,264.65
05-02-2018 DEBIT CARD VPS/NEW MAURYA /20180204212406/0 347.00 9,917.65
05-02-2018 NET BANKING IIN/FLIPKART.CO/20180205121134 300.00 9,617.65
06-02-2018 NET BANKING VIN/ONLINE RECH/20180206123525/0 289.00 9,328.65
06-02-2018 NET BANKING IIN/PAYTM /20180206124546 399.00 8,929.65
07-02-2018 NET BANKING IIN/PAYTM /20180207193910 165.00 8,764.65
08-02-2018 DEBIT CARD VPS/PREMSONS DI/20180208124523/0 839.00 7,925.65
12-02-2018 OTHER ATMS NFS/CASH WDL/10-02-18 500.00 7,425.65
12-02-2018 NET BANKING VIN/ISROOTHDRCA/20180211214300/0 100.00 7,325.65
12-02-2018 DEBIT CARD VPS/KUMAR SERVI/20180212102022/0 300.00 7,025.65
12-02-2018 NET BANKING VIN/ICICI LOMBA/20180212111020/0 3,113.00 3,912.65
12-02-2018 SAL/SALARY FOR JAN18 12,186.00 16,098.65
13-02-2018 NET BANKING VIN/RRBBGLOTHDR/20180213130110/0 500.00 15,598.65
16-02-2018 REF KUMAR SERVICE STATION 2.25 15,600.90
16-02-2018 NET BANKING IIN/I-Debit/FLIPKART /20180216221753 649.00 14,951.90
17-02-2018 NET BANKING VIN/RELIANCEJIO/20180217125052/0 399.00 14,552.90
17-02-2018 DEBIT CARD VPS/BIG BAZAAR /20180217192207/0 374.00 14,178.90
19-02-2018 OTHER ATMS NFS/CASH WDL/18-02-18/Fee Rs20.00 GST Rs3.60 523.60 13,655.30
19-02-2018 NET BANKING IIN/IRCTC E TIC/20180218220958 140.00 13,515.30
19-02-2018 NET BANKING IIN/PAYTM /20180219103322 10.00 13,505.30
21-02-2018 OTHER ATMS NFS/MiniStmnt/Fee Rs8.50 GST Rs1.53 10.03 13,495.27
21-02-2018 OTHER ATMS NFS/CASH WDL/21-02-18/Fee Rs20.00 GST Rs3.60 523.60 12,971.67
26-02-2018 DEBIT CARD VPS/ANAND AGENC/20180226112330/0 740.00 12,231.67
26-02-2018 OTHER ATMS NFS/CASH WDL/26-02-18/Fee Rs20.00 GST Rs3.60 523.60 11,708.07
TOTAL Total: 12,188.25 13,044.83 11,708.07

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of January, 2018
POINTS BALANCE*
NUMBER NUMBER
My Savings REWARD DEBIT CARD
026501521918 9401166876833901 0 25 98
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on February 20, 2018, includes points earned through other PAYBACK partners
Points earned for the month will reflect with a lag of upto 50 days in the point balance.
 Page 2 of 2 M-3231673

MR.NIRANJAN BEHERA

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings 026501521918 827229002 ICIC0000265 -
* Nominee name is displayed only on specific consent of customer.

For ICICI Bank Limited

Legends for transactions in your account statement
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
Subir Saha RTGS-Real Time Gross Settlement (Instant transfer above Rs 2 Lakh) NEFT- National Electronic Fund Transfer
Senior General Manager

• As per prevailing guidelines of the Income tax Act, 1961, if a valid PAN is not provided by
the customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
• As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be
generated through the Income tax website for which the PAN of the customer needs to be
necessarily updated in Bank's record.
• Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation
(DICGC) up to a maximum of Rs. 1 lakh, for both principal and interest amount held by him
in the same right and same capacity.
• In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
• In case your PAN is not updated in our record, please visit the nearest branch and provide a
copy of the PAN card, along with the original PAN card for verification.
• The address of the customer in Form 16A will be the last updated address in the data base of
the income tax department.
• As per PMJJY, debit of Rs.289 is towards insurance premium collected on behalf of ICICI
Prudential & Rs.41 is towards administration charges by ICICI bank (including GST). For details
refer Terms and Conditions at www.icicibank.com

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