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002076/87654321-1/1-2/RESGB/03-26
Your Base Branch : POWAI BRANCH, GALLERIA
SHOPPING MALL, HIRANANDANI GARDENS, POWAI
400076
MR.BHAGYARAJA NAGARAJU KOPPISETTY
A-603 AMBER RESIDENCY,KAMLAKAR,NGR KHOGAON,
NR WADHWA GROUP,AMBERNATH : Visit www.icicibank.com
THANE Å Dial your Bank 1860 120 7777
MAHARASHTRA - INDIA - 421501

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

STATEMENT SUMMARY for Customer ID : XXXXX1431 as on February 29, 2020

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX4749 262.44 0.00 262.44 Registered

TOTAL 262.44 0.00 262.44

Statement of Transactions in Savings Account XXXXXXXX4749 in INR for the period February 01, 2020 - February 29, 2020

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-02-2020 B/F 19.16
03-02-2020 BIL/INFT/001910901511/Transfer to Bha/ RITU PRAJAPATI 5,000.00 5,019.16
03-02-2020 MOBILE BANKING MMT/IMPS/003320898621/Bhagyaraja/HDFC0000543 5,000.00 19.16
05-02-2020 BIL/INFT/001913951429/Raja/ SIVAKRISHNA NAG 8,400.00 8,419.16
06-02-2020 LBMUMXX11199 FEB20 Sivakrishna 8,366.00 53.16
MMT/IMPS/003718572655/Ensure KYC AML
06-02-2020 MOBILE BANKING 18,331.61 18,384.77
/TRANSFERWI/HDFC BANK LTD
06-02-2020 BIL/INFT/001915094685/Emi/ SIVAKRISHNA NAG 8,400.00 9,984.77
06-02-2020 MOBILE BANKING MMT/IMPS/003718787475/Bhagyaraja/HDFC0000543 4,700.00 5,284.77
06-02-2020 BIL/INFT/001915098707/Thankyou/ RITU PRAJAPATI 5,000.00 284.77
MMT/IMPS/003718591269/Ensure KYC AML
06-02-2020 MOBILE BANKING 9,143.16 9,427.93
/TRANSFERWI/HDFC BANK LTD
07-02-2020 NET BANKING MIN/GOOGLE TEM/202002071537/406433/ 1.00 9,426.93
07-02-2020 NET BANKING MIN/PAYMNT RVSL/GOOGLE TEM/202002071537/406433/ 1.00 9,427.93
10-02-2020 MOBILE BANKING MMT/IMPS/003910421961/Nagaraju K/ANDB0001623 2,000.00 7,427.93
10-02-2020 NET BANKING MIN/GOOGLE TEM/202002081232/478498/ 1.00 7,426.93
10-02-2020 NET BANKING MIN/PAYMNT RVSL/GOOGLE TEM/202002081232/478498/ 1.00 7,427.93
10-02-2020 BIL/ONL/001916623496/One97 Comm/202002080808159 15.32 7,412.61
10-02-2020 DEBIT CARD IPS/SAGAR WINES/202002081240/000000002670/THANE 240.00 7,172.61
10-02-2020 BIL/ONL/001917153935/One97 Comm/202002090809460 15.32 7,157.29
10-02-2020 ICICI ATM ATM/S1CWK256/CASH WDL/09-02-20 500.00 6,657.29
10-02-2020 NET BANKING MIN/GOOGLE TEM/202002090950/462665/ 1.00 6,656.29
10-02-2020 NET BANKING MIN/PAYMNT RVSL/GOOGLE TEM/202002090950/462665/ 1.00 6,657.29
10-02-2020 NET BANKING MIN/GOOGLE TEM/202002091559/666451/ 1.00 6,656.29
10-02-2020 NET BANKING MIN/PAYMNT RVSL/GOOGLE TEM/202002091559/666451/ 1.00 6,657.29
10-02-2020 BIL/ONL/001917458960/One97 Comm/202002090810168 320.08 6,337.21
10-02-2020 BIL/ONL/001918181742/Bajaj Fin/109768766348-10 2,745.00 3,592.21
10-02-2020 OTHER ATMS NFS/AJB01099/CASH WDL/10-02-20 1,500.00 2,092.21
17-02-2020 ICICI ATM ATM/S1CWK256/CASH WDL/16-02-20 500.00 1,592.21
MMT/IMPS/004719561498/Ensure KYC AML
17-02-2020 MOBILE BANKING 6,469.85 8,062.06
/TRANSFERWI/HDFC BANK LTD
17-02-2020 BIL/INFT/001923117828/ SIVAKRISHNA NAG 1,500.00 6,562.06
17-02-2020 NET BANKING MIN/IRCTC IPAY /202002171117/596863/ 585.94 5,976.12
17-02-2020 OTHER ATMS NFS/P3FNMU09/CASH WDL/17-02-20 500.00 5,476.12
UPI/004821616201/Payment from Ph/8691008809@ybl/ICICI
17-02-2020 1,000.00 6,476.12
Bank
17-02-2020 UPI/004823184815/UPI/paytm-irctc@pay/Paytm Payments/ 546.80 5,929.32
18-02-2020 NET BANKING IIN/I-Debit/Amazon /202002180936/004905004884/ 149.00 5,780.32
18-02-2020 NET BANKING MIN/GOOGLE TEM/202002181200/601563/ 1.00 5,779.32
Total: 48,348.62 42,588.46 5,779.32
 Page 2 of 2 M-87654321-1

Statement of Transactions in Savings Account XXXXXXXX4749 in INR for the period February 01, 2020 - February 29, 2020

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

18-02-2020 NET BANKING MIN/PAYMNT RVSL/GOOGLE TEM/202002181200/601563/ 1.00 5,780.32
18-02-2020 NET BANKING MIN/IRCTC E CAT/202002181201/231253/ 555.31 5,225.01
18-02-2020 NET BANKING MIN/GOOGLE TEM/202002181328/745784/ 1.00 5,224.01
18-02-2020 NET BANKING MIN/PAYMNT RVSL/GOOGLE TEM/202002181328/745784/ 1.00 5,225.01
18-02-2020 NET BANKING IIN/I-Debit/Amazon /202002181329/004906014236/ 2.00 5,223.01
18-02-2020 NET BANKING IIN/RFND/I-Debit/Amazon /20200218155431 2.00 5,225.01
19-02-2020 NET BANKING MIN/GOOGLE TEM/202002191635/475505/ 1.00 5,224.01
19-02-2020 NET BANKING MIN/PAYMNT RVSL/GOOGLE TEM/202002191635/475505/ 1.00 5,225.01
19-02-2020 NET BANKING IIN/I-Debit/DealsKart O/202002191636/005010019272/ 616.50 4,608.51
19-02-2020 UPI/005014448057/express/paytm-irctc@pay/Paytm Payments 546.80 5,155.31
24-02-2020 NET BANKING MIN/IRCTC E CAT/202002232218/267147/ 570.87 4,584.44
24-02-2020 NET BANKING MIN/GOOGLE TEM/202002232337/441394/ 1.00 4,583.44
24-02-2020 NET BANKING MIN/PAYMNT RVSL/GOOGLE TEM/202002232337/441394/ 1.00 4,584.44
24-02-2020 NET BANKING IIN/I-Debit/ZEE ENTERTA/202002232338/005405026428/ 99.00 4,485.44
25-02-2020 OTHER ATMS NFS/CWCW7711/CASH WDL/25-02-20 1,000.00 3,485.44
25-02-2020 NET BANKING MIN/GOOGLE TEM/202002252114/325120/ 1.00 3,484.44
25-02-2020 NET BANKING MIN/PAYMNT RVSL/GOOGLE TEM/202002252114/325120/ 1.00 3,485.44
25-02-2020 NET BANKING MIN/PAYTM APP /202002252114/622056/ 324.00 3,161.44
25-02-2020 NET BANKING IIN/I-Debit/Amazon /202002252147/005606025104/ 399.00 2,762.44
28-02-2020 OTHER ATMS NFS/21192002/CASH WDL/28-02-20 2,500.00 262.44
Total: 553.80 6,070.68 262.44

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of January, 2020
POINTS BALANCE*
NUMBER NUMBER My Savings REWARD DEBIT CARD
There are no reward points earned. To know more about the MySavings Rewards Program, please visit us at www.mysavingsrewards.com
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on February 20, 2020, 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

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings XXXXXXXX4749 400229004 ICIC0000020 -

* Nominee name is displayed only on specific consent of customer.

Sincerely, 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
ICICI Bank Limited 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.

l Do not fall prey to fictitious offers of winning prizes, money circulation schemes and cheap
funds, etc. through SMS, e-mails and calls.
l With effect from Dec 15, 2019, there is a revision in limits of Cash Transactions and
associated charges. For details, please visit www.icicibank.com/notice-board.page
l 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).
l 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.
l 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.
Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex, Mumbai - 400051, India.
Registered Office: ICICI Bank Tower, Near Chakli Circle, Old Padra Road, Vadodara, Gujarat. Pin – 390 007.
This is an authenticated intimation/statement.
Customers are requested to immediately notify the bank in case of any discrepancy in the statement.
l There is a revision in the terms & conditions of your complimentary air accident insurance,
personal accident insurance & purchase protection. It is linked to your bank account. For details,
please visit www.icicibank.com .
l 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.
l In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
l 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.
l The address of the customer in Form 16A will be the last updated address in the data base of the
income tax department.
l 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 Goods and
Services Tax (GST)). For details, refer Terms and Conditions at www.icicibank.com
www.icicibank.com
Category of service: Banking & Financial Services.
Registration No. MIV/ST/Bank & Finc/4.
CIN : L65190GJ1994PLC021012
ROG_SR168104445_DB_SS_30042021