MR.

BAVISETTY ANANDA RAGHAVA

Your Base Branch : HSR LAYOUT BRA
420,SECTOR 1,27 TH MAIN, HSR LAYOU

7D-,MOTEPALLI VARI VEEDHI,9-11 FLR,ELURU,

NEAR RAMALAYAM
WEST GODAVARI Visit www.icicibank.com
ANDHRAPRADESH - INDIA - 534001 Dial your Bank (Toll-free) 1800-103-8

NEVER SHARE your Card number, CVV, PIN, OTP, Internet Banking User ID or Password with anyone, even if the
claims to be a bank employee. Sharing these details can lead to unauthorised access to your account.
Summary of Accounts held under Cust ID : XXXXX8952 as on August 31, 2019

ACCOUNT DETAILS - INR

FIXED DEPOSITS (LINKED)

ACCOUNT TYPE A/C. BALANCE (I) TOTAL BALANCE (I+II)
BAL. (II)
Savings A/c XXXXXXXX5512 173945.35 0 173945.35

TOTAL 173945.35 0 173945.35

Statement of Transactions in Savings Account Number: XXXXXXXX5512 in INR for the period August 01, 2019 - Au
2019
DATE MODE PARTICULARS DEPOSITS WITHDRAWALS

01-08-2019 B/F
VPS/A M
01-08-2019 DEBIT CARD VENTURE/201908011520/921 390
309116639/BANGALOR
E
VPS/Cane
01-08-2019 DEBIT CARD crussh/201908012118/921315 70
991186/Bangalor
e
IIN/I-Debit/Amazon /
01-08-2019 NET BANKING 201908012007/92131301602 2099
2/
UPI/921412696686/UPI/bvsttla
02-08-2019 100
kshmanar/Axis Bank Ltd
.
UPI/921413600753/UPI/q6477
02-08-2019 50
5089@ybl/Kotak
VIN/PAYTM / Mahindra
02-08-2019 NET BANKING 201908021414/92140832930 350
7/
UPI/921516786964/Swiggy
03-08-2019 122
Order Id/swiggyupi@axisb/A
xis Bank Ltd./
IIN/I-Debit/Amazon /
05-08-2019 NET BANKING 201908032351/92150101295 2
IIN/TATA
4/
05-08-2019 NET BANKING UNISTO/201908040003/92151 3499
8427703/
IIN/RFND/I-Debit/Amazon /
05-08-2019 NET BANKING 2
20190804054840
VPS/A M
06-08-2019 DEBIT CARD VENTURE/201908061545/921 150
810032202/BANGALOR
E
VPS/Cane
06-08-2019 DEBIT CARD crussh/201908062137/921816 80
528003/Bangalor
e
VIN/SWIGGY /
06-08-2019 NET BANKING 201908062157/92181632786 325
VPS/GREEN
7/
08-08-2019 DEBIT CARD APPLE/201908081016/922004 3402.38
198446/BANGALOR
E
VPS/ROMA
09-08-2019 DEBIT CARD VENTUR/201908091557/9221 70
10519230/BANGALOR
E
 VPS/Cane
09-08-2019 DEBIT CARD crussh/201908092138/922116 70
845777/Bangalor
e
IIN/I-Debit/Amazon /
12-08-2019 NET BANKING 201908121219/92240500396 837
VIN/Drivezy
6/
12-08-2019 NET BANKING Ind/201908121233/92241764 3000
VIN/PAYTM
7462/ /
12-08-2019 NET BANKING 201908121333/92240850610 1350
VPS/A
0/ M
12-08-2019 DEBIT CARD VENTURE/201908121602/922 150
410076206/BANGALOR
E
VPS/MAHADEV
14-08-2019 DEBIT CARD TEX/201908141349/92260806 270
2209/BANGALOR
E
IIN/PAYTM /
14-08-2019 NET BANKING 201908141350/92260866806 2000
1/

Statement of Transactions in Savings Account Number: XXXXXXXX5512 in INR for the period August 01, 2019 - Au
2019
DATE MODE PARTICULARS DEPOSITS WITHDRAWALS
VPS/A M
14-08-2019 DEBIT CARD VENTURE/201908141644/922 150
611040242/BANGALOR
E
VPS/CELINES
16-08-2019 DEBIT CARD KIT/201908152248/92271784 2674
3014/VILLUPUR
A
VPS/IN FUSION /
16-08-2019 DEBIT CARD 201908161731/92281250173 2673
4/CHENNAI
16-08-2019 VISA REF Drivezy India Travels 3000
VIN/SWIGGY /
17-08-2019 NET BANKING 201908171823/92291273087 414.3
VPS/CLAUDE
6/
17-08-2019 DEBIT CARD CARE/201908172203/922916 2468
100996/PONDICHE
R
VPS/RICHY RICH /
17-08-2019 DEBIT CARD 201908180415/92292204888 330
1/PONDICHE
R
IIN/I-Debit/PayTM /
19-08-2019 NET BANKING 201908181130/92300200295 1348
IIN/PAYTM
2/ /
19-08-2019 NET BANKING 201908182138/92301640446 1350
VPS/A
5/ M
19-08-2019 DEBIT CARD VENTURE/201908191519/923 150
109105315/BANGALOR
E
IIN/PAYTM /
19-08-2019 NET BANKING 201908192138/92311637639 345
IIN/PAYTM
7/ /
19-08-2019 NET BANKING 201908192213/92311648081 598
IIN/PAYTM
1/ /
19-08-2019 NET BANKING 201908192242/92311754782 141.91
IIN/I-Debit/Amazon
5/ /
20-08-2019 NET BANKING 201908200003/92320500001 699
IIN/PAYTM
2/ /
20-08-2019 NET BANKING 201908202112/92321541893 365
IIN/PAYTM
3/ /
20-08-2019 NET BANKING 201908202140/92321651359 168
VIN/PAYTM
1/ /
20-08-2019 NET BANKING 201908202147/92321666099 2000
IIN/I-Debit/Amazon
1/ /
22-08-2019 NET BANKING 201908220002/92340500000 999.2
VIN/PAYPAL
6/
22-08-2019 NET BANKING MYN/201908220047/9233195 3830.28
VPS/A
72434/M
22-08-2019 DEBIT CARD VENTURE/201908221521/923 150
409106816/BANGALOR
E
VPS/Cane
22-08-2019 DEBIT CARD crussh/201908222121/923415 40
281579/Bangalor
e
UPI/923423116948/UPI/sindhu
23-08-2019 890
ja.chittu/Axis Bank Ltd
./
 UPI/923423108672/UPI/sindhu
23-08-2019 210
ja.chittu/Axis Bank Ltd
./
UPI/923423185813/UPI/goog-
23-08-2019 10
payment@ok/Axis Bank Ltd
.
UPI/923500119856/UPI/sindhu
23-08-2019 1000
ja.chittu/Axis Bank Ltd
./
VPS/A M
23-08-2019 DEBIT CARD VENTURE/201908231622/923 150
510112038/BANGALOR
E
VIN/Drivezy
26-08-2019 NET BANKING Ind/201908251806/92372239 4000
9646/
UPI/923719718873/UPI/sritilak
26-08-2019 180
ghattam/Paytm Payment
s/
VPS/Swaraj
26-08-2019 DEBIT CARD Hype/201908252045/9237156 290
35034/Tavarake
r
VIN/PAYTM /
26-08-2019 NET BANKING 201908261245/92380779296 2000
IIN/I-Debit/Amazon
6/ /
26-08-2019 NET BANKING 201908262331/92381001148 1399
0/
UPI/923913474115/UPI/sathish
27-08-2019 58
.shetty./Corporation B
an/
UPI/923921769735/UPI/sathish
27-08-2019 101
.shetty./Corporation B
an/
UPI/924012612326/UPI/sathish
28-08-2019 50
.shetty./Corporation B
an/

Statement of Transactions in Savings Account Number: XXXXXXXX5512 in INR for the period August 01, 2019 - Au
2019
DATE MODE PARTICULARS DEPOSITS WITHDRAWALS
UPI/924012635864/UPI/sathish
28-08-2019 5
.shetty./Corporation B
an/
UPI/924012664878/UPI/sathish
28-08-2019 50
.shetty./Corporation B
an/
UPI/924020177782/UPI/sathish
28-08-2019 60
.shetty./Corporation B
an/
UPI/924113674450/UPI/sathish
29-08-2019 58
.shetty./Corporation B
an/
UPI/924113704463/UPI/sathish
29-08-2019 15
.shetty./Corporation B
an/
UPI/924212550541/UPI/sathish
30-08-2019 58
.shetty./Corporation B
an/
IIN/I-Debit/Amazon /
30-08-2019 NET BANKING 201908301403/92420500706 629
IIN/I-Debit/Amazon
2/ /
30-08-2019 NET BANKING 201908301408/92420100730 222.55
NEFT-908309028976-
4/
31-08-2019 INDUCTIS INDIA P L 0047 109058
AL N12 142424-
SALARY-S
05720310000047-
HDFC0004989
UPI/924321374771/UPI/suman
31-08-2019 3750
th0909@okh/HDFC BANK LTD
Total: 112170 54355.62

REWARD POINTS SUMMARY

 Points earned for the July,
LINKED PAYBACK month of 2019
SAVINGS ACCOUNTNUMBER
NUMBER DEBIT
My Savings REWARD
CARD
XXXXXXXX5512 XXXXXXXXXXXX6102 0 396
To get current reward points balance and for other queries visit www.icicibank.com or call ICICI Bank Customer Care
* As on August 20, 2019, 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.
Account Related Other Information

IFSC
ACCOUNT TYPE ACCOUNT NUMBER MICR CODE
CODE
ICIC0000
Savings XXXXXXXX5512 560229024
357
*Nominee name is displayed only on specific consent of customer.

Sincerely,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
VPS/IPS-Debit card transaction TOP- Mobile Recharge
RTGS-Real Time Gross Settlement (Instant transfer above Rs 2 Lakh) NEFT- National Electronic Fund Transfer

This is a system-generated statement. Hence, it does not require any signature.

Bank’s Code of Commitment to Customers and Micro and Small Enterprises (MSE):
Please visit www.icicibank.com > About Us > Notice Board > Code of Commitment. The
• code has been framed in line with the guidelines provided by Banking Codes and
Standards Board of India (BCSBI).
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.
As per prevailing guidelines of the Income Tax Act, 1961, if a valid PAN is n
• the customer, then tax shall be deducted at the prevailing rate or 20%, wh
higher.
• In absence of valid PAN, Form 15G / 15H shall not be treated as valid and t
deducted.
• In case your PAN is not updated in our record, please visit the nearest bran
provide a copy of the PAN card, along with the original PAN card for verific
• The address of the customer in Form 16A will be the last updated address
base of the income tax department.
As per PMJJY, debit of Rs 289 is towards insurance premium collected on b
Prudential & Rs 41 is towards administration charges by ICICI Bank (includ
• Services Tax (GST)). For details, refer Terms and Conditions at www.iciciban

Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex,
Mumbai - 400051, India. www.icicibank.com
Registered Office: ICICI Bank Tower, Near Chakli Circle, Old Padra Road, Category of service: Banking & Financial Services.
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 in case of any ROG_SR168104445_DB_SS_30042021
discrepancy in the statement.
 Your Base Branch : HSR LAYOUT BRANCH, NO
420,SECTOR 1,27 TH MAIN, HSR LAYOUT, 560034

Visit www.icicibank.com
Dial your Bank (Toll-free) 1800-103-8181

or Password with anyone, even if the person

ised access to your account.
19

TOTAL BALANCE (I+II) NOMINATION

173945.35 Not Registered

173945.35
NR for the period August 01, 2019 - August 31,

WITHDRAWALS BALANCE

116130.97

390 115740.97

70 115670.97

2099 113571.97

113671.97

50 113621.97

350 113271.97

122 113149.97

2 113147.97

3499 109648.97

109650.97

150 109500.97

80 109420.97

325 109095.97

3402.38 105693.59

70 105623.59
 70 105553.59

837 104716.59

3000 101716.59

1350 100366.59

150 100216.59

270 99946.59

2000 97946.59

NR for the period August 01, 2019 - August 31,

WITHDRAWALS BALANCE

150 97796.59

2674 95122.59

2673 92449.59

95449.59

414.3 95035.29

2468 92567.29

330 92237.29

1348 90889.29

1350 89539.29

150 89389.29

345 89044.29

598 88446.29

141.91 88304.38

699 87605.38

365 87240.38

168 87072.38

2000 85072.38

999.2 84073.18

3830.28 80242.9

150 80092.9

40 80052.9

890 79162.9
 210 78952.9

78962.9

1000 77962.9

150 77812.9

4000 73812.9

180 73632.9

290 73342.9

2000 71342.9

1399 69943.9

58 69885.9

101 69784.9

50 69734.9

NR for the period August 01, 2019 - August 31,

WITHDRAWALS BALANCE

5 69729.9

50 69679.9

60 69619.9

58 69561.9

15 69546.9

58 69488.9

629 68859.9

222.55 68637.35

177695.35

3750 173945.35

54355.62 173945.35
 POINTS BALANCE*

4071
Customer Care

NAME OF NOMINEE*
-

s in your account statement

INF-Internet funds transfer in Linked accounts
BIL-Internet bill payment or Funds transfer to third party
TOP- Mobile Recharge
NEFT- National Electronic Fund Transfer

guidelines of the Income Tax Act, 1961, if a valid PAN is not provided by
n tax shall be deducted at the prevailing rate or 20%, whichever is

d PAN, Form 15G / 15H shall not be treated as valid and tax will be
s not updated in our record, please visit the nearest branch and
the PAN card, along with the original PAN card for verification.
e customer in Form 16A will be the last updated address in the data
e tax department.
t of Rs 289 is towards insurance premium collected on behalf of ICICI
1 is towards administration charges by ICICI Bank (including Goods and
)). For details, refer Terms and Conditions at www.icicibank.com

Financial Services.
Finc/4.

42021