Page 1 of 2 M-6401794

603317/6401794/1-2/RESGB/02-0
Your Base Branch : E 36 2 AVENUE BESANT
NAGAR 600090
MR.RAJIVE V
NO1 MANGAMMA NAGAR EXTN
SRIRANGAM : Visit www.icicibank.com
TRICHY
TAMIL NADU - INDIA - 620006 Dial your Bank 33667777

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.

Summary of Accounts held under Cust ID : 536471703 as on December 31, 2016

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c 603301531237 53,414.69 0.00 53,414.69 Not Registered

TOTAL 53,414.69 0.00 53,414.69

Statement of Transactions in Savings Account Number: 603301531237 in INR for the period December 01, 2016 - December 31, 2016

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-12-2016 B/F 57,849.00
01-12-2016 NET BANKING IIN/I-Debit/irctc.co.in/201612011106 385.92 57,463.08
01-12-2016 NET BANKING BIL/001092365771/rent nov food dec/50100054987702 5,000.00 52,463.08
05-12-2016 NET BANKING BIL/001095068250/PGMIB-Jio wallet/RPSL_HICI494419 5,000.00 47,463.08
06-12-2016 NET BANKING IIN/I-Debit/irctc.co.in/201612061752 315.92 47,147.16
07-12-2016 NET BANKING VIN/TNSTCLTD /20161207205801/0 266.00 46,881.16
07-12-2016 NET BANKING VIN/TNSTCLTD /20161207211407/0 266.00 46,615.16
09-12-2016 NET BANKING BIL/001099930188/BALANCE 1000 FOOD DE/50100054987 1,000.00 45,615.16
09-12-2016 IIN/RVS/I-DB/PMT/000143539707 195.00 45,810.16
12-12-2016 NET BANKING VIN/MOBIKWIK UB/20161211000741/1 131.79 45,678.37
12-12-2016 NET BANKING VIN/MOBIKWIK UB/20161211111458/0 84.16 45,594.21
12-12-2016 NET BANKING VIN/TNSTCLTD /20161211224754/0 266.00 45,328.21
12-12-2016 NET BANKING IIN/I-Debit/irctc.co.in/201612121847 315.00 45,013.21
13-12-2016 NET BANKING IIN/I-Debit/irctc.co.in/201612131642 1,930.00 43,083.21
13-12-2016 NET BANKING IIN/I-Debit/irctc.co.in/201612131647 880.00 42,203.21
13-12-2016 NET BANKING VIN/REDBUS IN /20161213165805/0 505.00 41,698.21
13-12-2016 NET BANKING VIN/TNSTCLTD /20161213200534/0 266.00 41,432.21
13-12-2016 NET BANKING VIN/MOBIKWIK UB/20161213201722/0 201.56 41,230.65
14-12-2016 NET BANKING BIL/001103306453/hospital/NSP 3,000.00 38,230.65
15-12-2016 NET BANKING IIN/I-Debit/irctc.co.in/201612151244 385.00 37,845.65
16-12-2016 NET BANKING VIN/TNSTCLTD /20161216135212/0 532.00 37,313.65
16-12-2016 NET BANKING IIN/I-Debit/irctc.co.in/201612161357 200.00 37,113.65
19-12-2016 NET BANKING BIL/001106544656/T Chg Rs10 ST Rs1.50/10000068644 211.50 36,902.15
19-12-2016 NET BANKING BIL/001106545682/laptop 4th installme/NSP 10,000.00 26,902.15
19-12-2016 NET BANKING IIN/I-Debit/irctc.co.in/201612191026 200.00 26,702.15
19-12-2016 IIN/RVS/I-DB/PMT/000144029047 315.00 27,017.15
19-12-2016 IIN/RVS/I-DB/PMT/000144040919 1,800.00 28,817.15
21-12-2016 NET BANKING BIL/001108106457/T Chg Rs10 ST Rs1.50/10000068788 61.50 28,755.65
21-12-2016 NET BANKING IIN/I-Debit/irctc.co.in/201612210924 500.00 28,255.65
21-12-2016 IRCTC RFND-PRN 100000686443125 211.50 28,467.15
23-12-2016 DEBIT CARD VPS/SRI SAIRAMS/20161223120804/0 281.00 28,186.15
23-12-2016 DEBIT CARD VPS/VOSG INDIA /20161223175626/0 270.00 27,916.15
23-12-2016 NET BANKING IIN/FLIPKART.CO/20161223144522 798.00 27,118.15
26-12-2016 NET BANKING IIN/Paytm /20161224202857 574.96 26,543.19
26-12-2016 NET BANKING VIN/TNSTCLTD /20161224203409/0 266.00 26,277.19
26-12-2016 DEBIT CARD VPS/HOT CHIPS E/20161224215720/0 335.00 25,942.19
26-12-2016 DEBIT CARD VPS/HOT CHIPS E/20161224220438/0 130.00 25,812.19
27-12-2016 OTHER ATMS NFS/CASH WDL/27-12-16 2,500.00 23,312.19
27-12-2016 DEBIT CARD IPS/ALSHAFIN /20161227194919/0 696.00 22,616.19
Total: 2,521.50 37,754.31 22,616.19
 Page 2 of 2 M-6401794

MR.RAJIVE V

Statement of Transactions in Savings Account Number: 603301531237 in INR for the period December 01, 2016 - December 31, 2016

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

28-12-2016 CMS TRANSACTION CMS/ WILLIAM HARE INDIA PVT LTD 35,669.00 58,285.19
28-12-2016 REF SETCTNLTD BILLDESK 188.00 58,473.19
28-12-2016 DEBIT CARD VPS/EUROPA OMR /20161228211221/0 3,567.00 54,906.19
29-12-2016 NET BANKING BIL/001113662726/T Chg Rs10 ST Rs1.50/10000069582 211.50 54,694.69
30-12-2016 603301531237:Int.Pd:29-09-2016 to 29-12-2016 447.00 55,141.69
31-12-2016 NET BANKING VIN/AIRTELMONEY/20161231170132/0 1,363.00 53,778.69
31-12-2016 DEBIT CARD VPS/VOSG INDIA /20170101011515/0 364.00 53,414.69
TOTAL Total: 36,304.00 5,505.50 53,414.69

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of November, 2016
POINTS BALANCE*
NUMBER NUMBER
My Savings REWARD DEBIT CARD
603301531237 9401160955388002 20 39 2167
To get current reward points balance and for other queries visit www.icicibank.com or call ICICI Bank Customer Care
* As on December 20, 2016, 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 IFSC CODE NAME OF NOMINEE*
Savings 603301531237 600229014 ICIC0006033 -
* Nominee name is displayed only on specific consent of customer.
Now update your Aadhar number by sending an SMS AADHAR <space>12 digit Aadhaar number <space> last 6 digits of Savings Account no. to 9222208888
from your registered mobile number or visit our branch.

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
RTGS-Real Time Gross Settlement (Instant transfer above Rs 2 Lakh) NEFT- National Electronic Fund Transfer
Authorised Signatory

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.
W.e.f. June 1, 2016, Service Tax will be charged at 15% as Government of India has
introduced Krishi Kalyan Cess (KKC) of 0.5%. Please note Swachh Bharat Cess (SBC) of
0.5% continues to be part of Service Tax.
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 Service Tax
@14%, SBC @ 0.5% & KKC @ 0.5%). 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.
PAN Based STC No. AAACI1195HSST001.
This is an authenticated intimation/statement. CIN : L65190GJ1994PLC021012
Customers are requested to immediately notify the Bank of any discrepancy in the statement
ROG Dec_SOA_SLDP_CPCPN_SR56732755_121216