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Page 1 of 3 M-87654312-1

000857/87654312-1/1-3/RESGB/07-19
Your Base Branch : ICICI BANK LIMITED
BRANCH, 6-2-1012, TGV MANSIONS, OPP
INSTITUTION OF ENGINEERS, KHAIRATABAD,
MR.MOHAN REDDY TAPPETA 500004
D #21-150/2,SECOND FLOR,FLAT 203,BALAJI NAGAR
KUKATPALLY,BEHIND BHARATHI SCHOOL
HYDERABAD
: Visit www.icicibank.com
TELANGANA - INDIA - 500072 Å Dial your Bank 1860 120 7777

Never share your OTP, URN, CVV or passwords with anyone, even if the person claims to be a Bank employee.

STATEMENT SUMMARY for Customer ID : XXXXX8157 as on June 30, 2021

ACCOUNT DETAILS - INR


ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX8319 10,761.51 0.00 10,761.51 Registered

TOTAL 10,761.51 0.00 10,761.51

Statement of Transactions in Savings Account XXXXXXXX8319 in INR for the period June 01, 2021 - June 30, 2021

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


01-06-2021 B/F 55,477.92
UPI/115202288429/Earned for usin/goog-payment@ok/Axis
01-06-2021 4.00 55,481.92
Bank Ltd.
01-06-2021 UPI/115206484322/UPI/paytmqr28100505/Paytm Payments/ 56.00 55,425.92
01-06-2021 UPI/115206499162/UPI/paytmqr28100505/Paytm Payments/ 27.00 55,398.92
BIL/ONL/000126099481/GFM Retail/wwwtendercutsin/chkICICI
01-06-2021 109.00 55,289.92
BANK NODA
02-06-2021 UPI/115306138477/UPI/paytmqr28100505/Paytm Payments/ 58.00 55,231.92
03-06-2021 UPI/115406015132/UPI/paytmqr28100505/Paytm Payments/ 56.00 55,175.92
03-06-2021 UPI/115418038763/UPI/paytmqr28100505/Paytm Payments/ 30.00 55,145.92
UPI/115418046461/Pay To CHINNALA/bharatpe0989972/Yes
03-06-2021 100.00 55,045.92
Bank Ltd/
04-06-2021 UPI/115500373500/UPI/paytmqr28100505/Paytm Payments/ 188.00 54,857.92
04-06-2021 UPI/115500176227/UPI/paytmqr28100505/Paytm Payments/ 50.00 54,807.92
04-06-2021 UPI/115500075321/UPI/9121997250@ybl/Canara Bank 611.00 54,196.92
05-06-2021 BIL/INFT/000129883911/Prathap Reddy/ M L PRATHAP RED 12,000.00 66,196.92
05-06-2021 UPI/115600425962/UPI/paytmqr28100505/Paytm Payments/ 30.00 66,166.92
BIL/ONL/000130703085/GFM
07-06-2021 218.00 65,948.92
Retail/wwwtendercutsin/chikenICICI BANK NODA
07-06-2021 UPI/115809751561/UPI/paytmqr28100505/Paytm Payments/ 70.00 65,878.92
07-06-2021 UPI/115817926445/UPI/paytmqr28100505/Paytm Payments/ 30.00 65,848.92
08-06-2021 UPI/115920343505/UPI/paytmqr28100505/Paytm Payments/ 136.00 65,712.92
08-06-2021 UPI/115921388719/Pay/billdeskpg.tata/ICICI Bank 500.00 65,212.92
08-06-2021 UPI/115928512679/UPI/paytmqr28100505/Paytm Payments/ 30.00 65,182.92
09-06-2021 UPI/116039323630/UPI/paytmqr28100505/Paytm Payments/ 50.00 65,132.92
11-06-2021 UPI/116253084241/UPI/paytmqr28100505/Paytm Payments/ 56.00 65,076.92
11-06-2021 BIL/ONL/000134763873/One97 Comm/202106111738849/Vodsar 49.00 65,027.92
BIL/ONL/000134765678/One97 Comm/202106111738867/Voda
11-06-2021 49.00 64,978.92
mohan
11-06-2021 BIL/ONL/000135289737/Reliance J/JIOPAYPG_VICI00/Sari jio 399.00 64,579.92
14-06-2021 UPI/116367873605/UPI/q97231115@ybl/Andhra Bank 300.00 64,279.92
UPI/116369946501/Pay To MS M S/bharatpe0989931/Yes Bank
14-06-2021 310.00 63,969.92
Ltd/
MMT/IMPS/116320531626/INETIMPS0016588/Mrs BEERA/State
14-06-2021 MOBILE BANKING 70,000.00 1,33,969.92
Bank of I
14-06-2021 ICICI ATM ATM/SACWC492/CASH WDL/12-06-21 20,000.00 1,13,969.92
14-06-2021 ICICI ATM ATM/SACWC491/CASH WDL/12-06-21 10,500.00 1,03,469.92
14-06-2021 DEBIT CARD VPS/SRI MAHALAX/202106131158/116406326705/SECUNDERA 1,00,000.00 3,469.92
MMT/IMPS/116412723968/INETIMPS0016591/Mrs BEERA/State
14-06-2021 MOBILE BANKING 20,000.00 23,469.92
Bank of I
14-06-2021 DEBIT CARD VPS/SRI MAHALAX/202106131215/116406335045/SECUNDERA 13,000.00 10,469.92
Total: 1,02,004.00 1,47,012.00 10,469.92
Page 2 of 3 M-87654312-1

Statement of Transactions in Savings Account XXXXXXXX8319 in INR for the period June 01, 2021 - June 30, 2021

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


MMT/IMPS/116412739889/INETIMPS0016592/Mrs BEERA/State
14-06-2021 MOBILE BANKING 20,000.00 30,469.92
Bank of I
14-06-2021 DEBIT CARD VPS/SRI MAHALAX/202106131248/116407350143/SECUNDERA 22,500.00 7,969.92
14-06-2021 UPI/116480439664/UPI/gpay-1116576705/Axis Bank Ltd./ 13.00 7,956.92
14-06-2021 UPI/116583270389/UPI/fkrt@ybl/Yes Bank Ltd 379.00 7,577.92
14-06-2021 UPI/116591285020/UPI/paytmqr28100505/Paytm Payments/ 36.00 7,541.92
14-06-2021 UPI/116591380416/UPI/paytmqr28100505/Paytm Payments/ 90.00 7,451.92
UPI/116693726251/Verified Mercha/bharatpe9100005/Yes Bank
15-06-2021 79.00 7,372.92
Ltd/
15-06-2021 APBS/IOC Ref No5370823786/1061438200886 40.71 7,413.63
16-06-2021 UPI/116704346163/UPI/paytmqr28100505/Paytm Payments/ 50.00 7,363.63
UPI/116705253559/JIO20BR00069JXX/jio@yesbank/Yes Bank
16-06-2021 399.00 6,964.63
Ltd/
UPI/116928314928/JIO20BR00069TMY/jio@yesbank/Yes Bank
18-06-2021 51.00 6,913.63
Ltd/
18-06-2021 UPI/116933360035/UPI/paytmqr28100505/Paytm Payments/ 50.00 6,863.63
19-06-2021 UPI/117035911884/UPI/paytmqr28100505/Paytm Payments/ 80.00 6,783.63
19-06-2021 UPI/117039795478/UPI/q08416857@ybl/Paytm Payments 28.00 6,755.63
19-06-2021 UPI/117041493900/UPI/gpay-1117553321/Axis Bank Ltd./ 200.00 6,555.63
19-06-2021 UPI/117043303339/UPI/paytmqr28100505/Paytm Payments/ 50.00 6,505.63
21-06-2021 UPI/117150316592/UPI/paytmqr28100505/Paytm Payments/ 179.00 6,326.63
UPI/117153754693/Verified Mercha/bharatpe9100005/Yes Bank
21-06-2021 65.00 6,261.63
Ltd/
21-06-2021 UPI/117254948293/UPI/gmuniprasad@oks/State Bank Of I/ 220.00 6,041.63
21-06-2021 UPI/117255233804/UPI/paytmqr28100505/Paytm Payments/ 50.00 5,991.63
21-06-2021 UPI/117255861081/UPI/paytmqr28100505/Paytm Payments/ 480.00 5,511.63
21-06-2021 UPI/117255872281/UPI/paytmqr28100505/Paytm Payments/ 6.00 5,505.63
21-06-2021 UPI/117241918191/books/rohin.bo@okhdfc/HDFC BANK LTD 480.00 5,985.63
21-06-2021 UPI/117257247773/UPI/q92418986@ybl/State Bank Of I 100.00 5,885.63
21-06-2021 UPI/117260023400/UPI/9121997250@ybl/Canara Bank 2,716.00 3,169.63
21-06-2021 UPI/117263898173/UPI/paytmqr28100505/Paytm Payments/ 50.00 3,119.63
22-06-2021 UPI/117366376347/UPI/paytmqr28100505/Paytm Payments/ 50.00 3,069.63
22-06-2021 UPI/117372868802/UPI/paytmqr28100505/Paytm Payments/ 50.00 3,019.63
23-06-2021 UPI/117476127994/UPI/chandraccmouli@/IDBI Bank Limit/ 540.00 2,479.63
23-06-2021 UPI/117476273391/UPI/paytmqr28100505/Paytm Payments/ 34.00 2,445.63
23-06-2021 UPI/117477180517/UPI/paytmqr28100505/Paytm Payments/ 50.00 2,395.63
UPI/117413227641/Earned for usin/goog-payment@ok/Axis
23-06-2021 5.00 2,400.63
Bank Ltd.
BIL/ONL/000142920683/1MG
23-06-2021 390.30 2,010.33
Techno/HQSQL0FQO28LUW/Medicine
24-06-2021 UPI/117593653997/UPI/q39223056@ybl/Karur Vysya Ban 1,000.00 1,010.33
24-06-2021 UPI/117595286793/UPI/gmuniprasad@oks/State Bank Of I/ 700.00 310.33
24-06-2021 UPI/117595792319/UPI/paytmqr28100505/Paytm Payments/ 30.00 280.33
24-06-2021 UPI/117595912900/UPI/paytmqr28100505/Paytm Payments/ 108.00 172.33
24-06-2021 UPI/117595947996/UPI/paytmqr28100505/Paytm Payments/ 50.00 122.33
25-06-2021 UPI/117698761892/UPI/paytmqr28100505/Paytm Payments/ 25.00 97.33
25-06-2021 UPI/117607776844/UPI/paytmqr28100505/Paytm Payments/ 30.00 67.33
25-06-2021 UPI/117607903149/UPI/paytmqr28100505/Paytm Payments/ 50.00 17.33
UPI/117700391612/pls accept/munirajumba@okh/HDFC BANK
28-06-2021 1,000.00 1,017.33
LTD
28-06-2021 UPI/117819826982/UPI/paytmqr28100505/Paytm Payments/ 650.00 367.33
28-06-2021 UPI/117819844653/Pay To Kukatpal/bharatpe.087010/ICICI Bank/ 100.00 267.33
28-06-2021 UPI/117820310258/UPI/paytmqr28100505/Paytm Payments/ 50.00 217.33
28-06-2021 UPI/117820340209/UPI/paytmqr28100505/Paytm Payments/ 77.00 140.33
28-06-2021 UPI/117929372406/UPI/paytmqr28100505/Paytm Payments/ 50.00 90.33
29-06-2021 UPI/118007393419/UPI/saritha111.lec@/State Bank Of I 15,000.00 15,090.33
UPI/118040219758/JIO20TB00000U81/jiofiber@yesban/Yes Bank
29-06-2021 470.82 14,619.51
Ltd/
29-06-2021 UPI/118042137690/UPI/paytmqr28100505/Paytm Payments/ 440.00 14,179.51
BIL/ONL/000146678063/State Bank/SBICARD_VICI007/icic protec
29-06-2021 3,300.00 10,879.51
pla
29-06-2021 UPI/118047551488/UPI/paytmqr28100505/Paytm Payments/ 50.00 10,829.51
Total: 36,525.71 36,166.12 10,829.51
Page 3 of 3 M-87654312-1

Statement of Transactions in Savings Account XXXXXXXX8319 in INR for the period June 01, 2021 - June 30, 2021

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


30-06-2021 000801538319:Int.Pd:30-03-2021 to 29-06-2021 242.00 11,071.51
30-06-2021 UPI/118160718252/UPI/paytmqr28100505/Paytm Payments/ 160.00 10,911.51
30-06-2021 UPI/118161166278/UPI/paytmqr28100505/Paytm Payments/ 100.00 10,811.51
30-06-2021 UPI/118161199289/UPI/paytmqr28100505/Paytm Payments/ 50.00 10,761.51
Total: 242.00 310.00 10,761.51

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of May, 2021
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 June 20, 2021, 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 XXXXXXXX8319 500229002 ICIC0000008 -

* 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.


You can now download the account statement using the iMobile Pay app and Internet Banking.

l There is a revision in the service charge for domestic Savings Accounts w.e.f. Aug 01, 2021. l Do not fall prey to fictitious offers of winning prizes, money circulation schemes and cheap
For details, please visit https://www.icicibank.com/notice-board.page funds, etc. through SMS, e-mails and calls.
l There is a change in the terms and conditions for Salary Accounts. For detailed terms and l As per the prevailing guidelines of the Income Tax Act, 1961, if a valid PAN is not provided by
conditions, visit www.icicibank.com/managed-assets/docs/terms-condition/tnc-savings-account.pdf the customer, then the Form 15G/15H shall not be treated as valid and tax shall be deducted at
(Clause XV). the prevailing rate or at 20%, whichever is higher. PAN can be updated online or at the nearest
l Bank’s Code of Commitment to Customers and Micro and Small Enterprises (MSE): Please branch.
visit www.icicibank.com > About Us > Notice Board > Code of Commitment. The code l The address of the customer in Form 16A will be the last updated address in the data base of the
has been framed in line with the guidelines provided by Banking Codes and Standards income tax department.
Board of India (BCSBI).
l PMJJBY Insurance: The insurance premium is collected on behalf of ICICI Prudential Life
l As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be Insurance Company Limited plus administration charges collected by ICICI Bank (including GST),
generated through the Income tax website for which the PAN of the customer needs to be in line with extant laws. Effective Sep 01, 2018, a premium is charged on a pro rata basis for all
necessarily updated in Bank's record. new enrolments in the scheme. It is noteworthy that the renewal premium for all existing
l Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation customers shall be charged for a period of one year (i.e. Rs 330) on May 25 - May 31 every year.
(DICGC) up to a maximum of Rs. 5 lakh, for both principal and interest amount held by him For details on the premium structure, refer to the Terms & Conditions under the Pradhan Mantri
in the same right and same capacity. Social Security Schemes 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, in case of any error in the statement. SR201850771

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