Page 1 of 8

MHW1/181D/1-1/WBF-M/03-12

698601700606??RAHI0510 400064

MR.BIRENDRA YADAV Your Base Branch: 105-106,BUSINESS CLASSIC, CTS

NO.10/A,,CHINCHOLI BUNDER RD, OFF S.V.ROAD
D/17,MASHAYAKH CHS CHINCHOLI,BUNDER RD OPP, MALAD W,400064
MALAD WEST,MADHUR SOCIETY
MUMBAI Visit www.icicibank.com
MAHARASHTRA - INDIA - 400064 Dial your Bank 33667777

Did you know? It's mandatory to be KYC compliant as per RBI guidelines. If you have not submitted your KYC documents, please visit the nearest
branch or contact your Relationship Manager to complete KYC details for your Account.
Summary of Accounts held under Cust ID: 10341807 as on November 12, 2021

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/c BALANCE(I) FIXED DEPOSITS (LINKED) BAL.(II) TOTAL BALANCE(I+II) NOMINATION
Savings A/c 100025599911 4,894.00 0.00 4,894.00 Registered
TOTAL 4,894.00 0.00 4,894.00

Statement of Transactions in Savings Account Number: 698601700606 in INR for the period August 01, 2021 - November 12, 2021
DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE
01-08-2021 B/F 3,006.57
02-08-2021 BIL/INFT/000172693089/NA/ RIYAL QURESHI 5,000.00 8,006.57
MMT/IMPS/121311445936/NA/Khalid
02-08-2021 MOBILE BANKING Qur/BARB0MALEAS 5,000.00 3,006.57
02-08-2021 OTHER ATMS NFS/ID012514/CASH WDL/01-08-21 700.00 2,306.57
02-08-2021 BIL/INFT/000172916251/NA/ RIYAL QURESHI 15,000.00 17,306.57
MMT/IMPS/121315166592/Elara 605/Ramkishan
02-08-2021 MOBILE BANKING /BKID0000062 15,000.00 2,306.57
VPS/RITE
02-08-2021 DEBIT CARD MEDICA/202108011929/121313983313/MUMBAI 205.00 2,101.57
02-08-2021 BIL/INFT/000173224659/NA/ RIYAL QURESHI 13,000.00 15,101.57
MMT/IMPS/121322083879/NA/Sai
02-08-2021 MOBILE BANKING associ/IBKL0001576 12,000.00 3,101.57
02-08-2021 OTHER ATMS NFS/MUBN9305/CASH WDL/02-08-21 1,000.00 2,101.57
VPS/RITE
02-08-2021 DEBIT CARD MEDICA/202108022131/121416443941/MUMBAI 134.00 1,967.57
03-08-2021 BIL/INFT/000174625988/NA/ RIYAL QURESHI 27,000.00 28,967.57
03-08-2021 ICICI ATM ATM/S1CNR970/CASH WDL/03-08-21 20,000.00 8,967.57
03-08-2021 ICICI ATM ATM/S1CNR970/CASH WDL/03-08-21 6,000.00 2,967.57
03-08-2021 BIL/INFT/000174856826/NA/ RIYAL QURESHI 10,000.00 12,967.57
03-08-2021 OTHER ATMS NFS/ATM0036/CASH WDL/03-08-21 10,000.00 2,967.57
UPI/121564249985/UPI/wasimchoudhary3/Union
03-08-2021 Bank of I/ICI9645bf9f4527404cbd12d0635e2dd3b2/ 2,500.00 467.57
03-08-2021 BIL/INFT/000175317100/NA/ RIYAL QURESHI 2,000.00 2,467.57
MMT/IMPS/121719829687/NA/Aruna
05-08-2021 MOBILE BANKING tech/IDIB000B101 817.00 1,650.57
05-08-2021 BIL/INFT/000177185060/NA/ RIYAL QURESHI 9,000.00 10,650.57
05-08-2021 OTHER ATMS NFS/ID012512/CASH WDL/05-08-21 7,500.00 3,150.57
UPI/121894158914/UPI/shaktiplywood32/Union
06-08-2021 Bank of I/ICIc03b3550ea7d47269ee280b7bc37743f/ 2,100.00 1,050.57
UPI/121894868786/cc/ccpay.437551753/ICICI
06-08-2021 Bank/ICI46f47d925c3b47e680fcc37e5599a6e6/ 1.00 1,049.57
06-08-2021 BIL/INFT/000177815169/NA/ RIYAL QURESHI 10,000.00 11,049.57
UPI/121897756029/UPI/billdesk.ltfina/ICICI
06-08-2021 Bank/ICI785d5317ef84473dbd62a81dda4eaeb6/ 3,120.00 7,929.57
UPI/121897838777/emi/upicolra.894529/HDFC
06-08-2021 BANK LTD/ICI9c1eef99687c4cfca0aa818bc0504e39/ 1,593.00 6,336.57
 Page 2 of 8

MR.BIRENDRA YADAV

DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE

06-08-2021 BIL/INFT/000177849667/NA/ RIYAL QURESHI 18,000.00 24,336.57
UPI/121898309389/credit card
06-08-2021 pay/ccpay.437551753/ICICI 18,000.00 6,336.57
Bank/ICI4492cda5bc9f401d875c5523c2a0ba3c/
06-08-2021 BIL/INFT/000177935429/NA/ RIYAL QURESHI 3,000.00 9,336.57
06-08-2021 OTHER ATMS NFS/CPRH6470/CASH WDL/06-08-21 9,000.00 336.57
06-08-2021 BIL/INFT/000178047000/NA/ RIYAL QURESHI 3,500.00 3,836.57
UPI/121802225678/UPI/mks.sahilkhan78/State Bank
06-08-2021 Of I/ICI569204e2be1a4b34a98adc3563fa33d8/ 3,500.00 336.57
UPI/121802248746/UPI/mayurgaikwad362/State
06-08-2021 Bank Of I/ICIad6b4f94148742789663d3259e0560b8/ 250.00 86.57
06-08-2021 BIL/INFT/000178124268/NA/ RIYAL QURESHI 500.00 586.57
UPI/121820108324/OLACABS/olacabs@axisban/Axi
06-08-2021 s Bank 1.00 585.57
Ltd./AXIeabae92798e745f0a7d252e168c5ac63/
UPI/121804960716/UPI/rajkumar70363@o/State
06-08-2021 Bank Of I/ICI11cc7b78ac14478692e1f0c642aa20df/ 221.00 364.57
UPI/121866571506/Payment
06-08-2021 Request/makemytrip@hdfc/HDFC BANK 186.57 178.00
LTD/HDF8BC7BC2B205E4B3E9BAA9810FEEAFFF6/
UPI/121866622136/Payment
06-08-2021 Request/makemytrip@hdfc/HDFC BANK 115.09 62.91
LTD/HDF7EB8315693F14C0D8E36D2A3F921439D/
06-08-2021 BIL/INFT/000178192082/NA/ RIYAL QURESHI 500.00 562.91
BIL/ONL/000178195169/Bharti Air/airtel66PL13762
06-08-2021 ICICI BANK NODA 366.00 196.91
UPI/121805928844/UPI/prernamalankar9/Union
06-08-2021 Bank of I/ICI75c1749a423349cf9b26e2f2c6c9c4ae/ 30.00 166.91
07-08-2021 BIL/INFT/000179066241/NA/ RIYAL QURESHI 10,000.00 10,166.91
MMT/IMPS/121922330284/NA/Ramkishan
07-08-2021 MOBILE BANKING /BKID0000062 10,000.00 166.91
UPI/122019956748/UPI/paytmqr28100505/Paytm
09-08-2021 Payments /ICI9e48f71f54924bbb93985b015a12f2dd/ 50.00 116.91
UPI/122131936119/UPI/paytmqr28100505/Paytm
09-08-2021 Payments /ICI411e0bcbccf0463bb0250f400cca1875/ 100.00 16.91
CLG/HARI KISHAN
09-08-2021 BAGARIA/000023/BOB/06.08.2021 1,00,000.00 1,00,016.91
09-08-2021 BIL/INFT/000180359840/NA/ RIYAL QURESHI 1,200.00 1,01,216.91
UPI/122139472061/fevicol/paytmqr28100505/Paytm
09-08-2021 Payments 1,155.00 1,00,061.91
/ICI2b3a02254c0a472c9451b3baed163a55/
09-08-2021 BIL/INFT/000180556354/NA/ RIYAL QURESHI 1,00,000.00 61.91
10-08-2021 UPI 121820108324 06 08 2021 AXB 1.00 62.91
11-08-2021 BIL/INFT/000182339821/NA/ RIYAL QURESHI 1,000.00 1,062.91
UPI/122371463731/UPI/babusaikh255075/Bank of
11-08-2021 Baroda/ICI3629c1ba268849fe9a4a673ed371875d/ 1,000.00 62.91
12-08-2021 BIL/INFT/000182669482/NA/ RIYAL QURESHI 2,500.00 2,562.91
12-08-2021 OTHER ATMS NFS/ATM0036/CASH WDL/12-08-21 2,500.00 62.91
13-08-2021 BY CASH-MUMBAI - S V ROAD MALAD 1,00,000.00 1,00,062.91
UPI/122592111422/UPI/shaileshkothari/Axis Bank
13-08-2021 Ltd./ICIc3300883e00d4baf856aeda97745a899/ 50.00 1,00,012.91
13-08-2021 OTHER ATMS NFS/05318042/CASH WDL/13-08-21 1,000.00 99,012.91
UPI/122594867741/UPI/anilcapri@okici/ICICI
13-08-2021 Bank/ICI488d88a0b8464441ab41b11db008dff3/ 1,850.00 97,162.91
13-08-2021 BIL/INFT/000183766868/NA/ RIYAL QURESHI 95,000.00 2,162.91
16-08-2021 OTHER ATMS NFS/ATM0036/CASH WDL/14-08-21 2,000.00 162.91
UPI/122720047516/UPI
16-08-2021 Transaction/makemytrip.payu/Axis Bank 120.20 42.71
Ltd./AXI885c1694b8db493185efaa6d8a417977/
16-08-2021 BIL/INFT/000185124811/NA/ RIYAL QURESHI 15,000.00 15,042.71
MMT/IMPS/122722305471/NA/Ramkishan
16-08-2021 MOBILE BANKING /BKID0000062 2,000.00 13,042.71
16-08-2021 OTHER ATMS NFS/ID012514/CASH WDL/16-08-21 1,000.00 12,042.71
 Page 3 of 8

DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/122879820937/Payment from
16-08-2021 Ph/7208075105@ybl/HDFC BANK 1,000.00 13,042.71
LTD/YBL1bb43871828a497985a90379e6ba2d00
UPI/122829879574/UPI/gpay-1117394362/Axis Bank
16-08-2021 Ltd./ICIa5b6a1fc17ef43efa8e5eb5c401999d6/ 45.00 12,997.71
VPS/HPCL
16-08-2021 DEBIT CARD SACHDE/202108161856/122813703473/MUMBAI 148.88 12,848.83
VPS/SACHDEVA
17-08-2021 DEBIT CARD AU/202108171147/122906390556/MUMBAI 208.00 12,640.83
17-08-2021 CASH DEPOSIT CAM/12391OAR/CASH DEP/17-08-21/1545 37,500.00 50,140.83
UPI/122940280436/UPI/DUMMY NAME/IDFC FIRST
17-08-2021 Bank/ICI89413b9be6684a508fe783ec67a73e9d/ 37,500.00 12,640.83
18-08-2021 BIL/INFT/000186622018/NA/ RIYAL QURESHI 200.00 12,840.83
MMT/IMPS/123009353990/NA/Santosh
18-08-2021 MOBILE BANKING am/BARB0BOISAR 1,000.00 11,840.83
18-08-2021 CHEQUE 107 CLG/ADANI ELECTRICITY MUMBAI 11,650.00 190.83
UPI/123011848203/Payment
18-08-2021 Request/makemytrip@hdfc/HDFC BANK 140.62 50.21
LTD/HDF2A6DED19742E47F49566DECF5A398735/
UPI/123012371892/MMT
18-08-2021 REFUND/makemytrip@hdfc/HDFC BANK 140.62 190.83
LTD/HDF9A0C398CF8014B2CBB2DB29E2A856B34
UPI/123013283078/Payment
18-08-2021 Request/makemytrip@hdfc/HDFC BANK 94.67 96.16
LTD/HDF71330D40B0EF4A25860E2284CA10C1E5/
UPI/123013898353/MMT
18-08-2021 REFUND/makemytrip@hdfc/HDFC BANK 94.67 190.83
LTD/HDF1292DCC26494413F98D1104A1E0FA919
UPI/123215077691/Payment from
20-08-2021 Ph/7506121555@ybl/Bank of 155.00 35.83
India/IBL33562cbc41164742857693c850d65f35/
20-08-2021 VISA REF SACHDEVA AUTOMBILES 1.56 37.39
UPI/123318244146/Payment from
21-08-2021 Ph/paytmqr28100505/Paytm Payments 25.00 12.39
/IBL6dcd9c5e65684b339ec0b448f5d4358b
23-08-2021 BIL/INFT/000189299859/NA/ RIYAL QURESHI 1,000.00 1,012.39
MMT/IMPS/123410927562/NA/Santosh
23-08-2021 MOBILE BANKING am/BARB0BOISAR 1,000.00 12.39
24-08-2021 CASH DEPOSIT CAM/01581SRY/CASH DEP/24-08-21/7279 1,000.00 1,012.39
UPI/123691894241/Payment from
24-08-2021 Ph/9769449637@ybl/Bank of 1,000.00 12.39
India/IBL75843702ff4f448e952a354f3e9b7786/
24-08-2021 BIL/INFT/000190875019/NA/ RIYAL QURESHI 250.00 262.39
UPI/123683509699/Payment
24-08-2021 Request/makemytrip@hdfc/HDFC BANK 109.98 152.41
LTD/HDFE4BB0BEDA7DB4FD3983955C6695D41B5/
UPI/123684050568/MMT
24-08-2021 REFUND/makemytrip@hdfc/HDFC BANK 109.98 262.39
LTD/HDF0CC29376243B41AB9A878F7F5266614E
24-08-2021 CASH DEPOSIT CAM/01581SRY/CASH DEP/24-08-21/7565 10,000.00 10,262.39
MMT/IMPS/123622356198/NA/Ramkishan
24-08-2021 MOBILE BANKING /BKID0000062 10,000.00 262.39
24-08-2021 NET BANKING VIN/IRCTC IPAY /202108242257/123617055484/ 73.04 189.35
24-08-2021 NET BANKING VIN/IRCTC E-TIC/202108250433/123610077193/ 88.11 101.24
25-08-2021 CASH DEPOSIT CAM/01582SRY/CASH DEP/25-08-21/2416 7,000.00 7,101.24
UPI/123732742766/by riyal
25-08-2021 quresh/hellboykaran312/Bank of 5,000.00 2,101.24
India/ICI754a1e7721e442b6aa33365bff9b16b0/
UPI/123732766036/UPI/mansurimenuddin/Bassein
25-08-2021 Catholi/ICId5dd4bbb05984d64ab314598d3b4fa88/ 2,000.00 101.24
MMT/IMPS/123716347750/1DSYRPHNZ5SBRT4/Am
25-08-2021 MOBILE BANKING azon Sel/HSBC Bank 2,499.00 2,600.24
UPI/123736780227/UPI/q36133874@ybl/Bassein
25-08-2021 Catholi/ICI2ee1bcc533fc4cb7b8c37651f8584480/ 25.00 2,575.24
 Page 4 of 8

MR.BIRENDRA YADAV

DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/123736789079/UPI/q36133874@ybl/Bassein
25-08-2021 Catholi/ICI1af1cdbb063b4c418d0da2ffea121f0e/ 60.00 2,515.24
UPI/123736798245/UPI/q36133874@ybl/Bassein
25-08-2021 Catholi/ICIe97468c29f354c439cb6c0414121cbb3/ 10.00 2,505.24
UPI/123841754943/UPI/billdesk.prepai/ICICI
26-08-2021 Bank/ICI41f94bdeb68440459df4caeb297d1283/ 249.00 2,256.24
UPI/123847536365/led/ssagnaramgameal/State
26-08-2021 Bank Of I/ICIa0e66000c70d4a558f2b1a48ca362a9d/ 1,900.00 356.24
UPI/123816733710/UPI/ssagnaramgameal/State
26-08-2021 Bank Of I/SBI4900166f144c419199e9360474ac5600 1,460.00 1,816.24
UPI/123847703293/UPI/raoufshaikh25@o/HDFC
26-08-2021 BANK 1,800.00 16.24
LTD/ICI0d07d15d35a34f0ba02d157f9eec4a76/
UPI/123832371202/UPI/goog-payment@ok/Axis
26-08-2021 Bank Ltd./AXI7a21dbf93b9242c783364058ad66251f 8.00 24.24
26-08-2021 BIL/INFT/000192315809/NA/ RIYAL QURESHI 4,000.00 4,024.24
MMT/IMPS/123817993827/NA/Santosh
26-08-2021 MOBILE BANKING am/BARB0BOISAR 4,000.00 24.24
MMT/IMPS/124216177057/IMPS to
30-08-2021 MOBILE BANKING Account/MINDSARRAY/Airtel Payments 1.00 25.24
MMT/IMPS/124216177195/IMPS to
30-08-2021 MOBILE BANKING Account/MINDSARRAY/Airtel Payments 2,000.00 2,025.24
UPI/124294563930/UPI/paytmqr28100505/Paytm
30-08-2021 Payments 10.00 2,015.24
/ICI3f8aa21de3624059b8a7023bf5bd5ad3/
MMT/IMPS/124216975798/NA/Santosh
30-08-2021 MOBILE BANKING am/BARB0BOISAR 2,000.00 15.24
UPI/124606941654/UPI/raoufshaikh25@o/HDFC
03-09-2021 BANK 10,000.00 10,015.24
LTD/HDF7c12e6449c3d479a83fd4f8d6da20e3c
UPI/124649579609/Payment from
03-09-2021 Ph/9769449637@ybl/Bank of 1,000.00 9,015.24
India/IBL3ba87c815ae041eaaa13c8b6ecc436ee/
03-09-2021 OTHER ATMS NFS/ID012512/CASH WDL/03-09-21 9,000.00 15.24
04-09-2021 CASH DEPOSIT CAM/01581SRY/CASH DEP/04-09-21/275 1,500.00 1,515.24
UPI/124758262723/laminate/sunil98202@okax/Bank
04-09-2021 ofIndia/ICIacaf4ba12e78435fb12d2d77f796c900/ 1,350.00 165.24
VPS/SACHDEVA
04-09-2021 DEBIT CARD AU/202109041116/124705611718/MUMBAI 155.00 10.24
UPI/124824696806/UPI/raoufshaikh25@o/HDFC
06-09-2021 BANK 1,500.00 1,510.24
LTD/HDFf5b8f5b02525437f95301df140b3d0c3
UPI/124873716934/laminate/sunil98202@okax/Bank
06-09-2021 ofIndia/ICI7c80a283347e4a88bc85795ca93307cf/ 1,500.00 10.24
UPI/124824173024/Payment from
06-09-2021 Ph/7208075105@ybl/HDFC BANK 300.00 310.24
LTD/YBL4457d4a2e49f42d886298f8e4683ab81
06-09-2021 ICICI ATM ATM/S1CWI318/CASH WDL/05-09-21 200.00 110.24
06-09-2021 BY CASH-MUMBAI - MALAD LINK ROAD 18,200.00 18,310.24
UPI/124987151084/sofa/shakilsiddiqui8/Bharat Co-
06-09-2021 Opera/ICI4f25c507b7714e769f23a3fdeaa6afa9/ 100.00 18,210.24
UPI/124987168493/UPI/shakilsiddiqui8/Bharat Co-
06-09-2021 Opera/ICI24f3920b5a9841c9875f18318ca6e3da/ 14,900.00 3,310.24
UPI/124987203245/UPI/billdesk.ltfina/ICICI
06-09-2021 Bank/ICI6780cb8af541442fa74ea2bb37836c34/ 3,120.00 190.24
06-09-2021 RTNCHG01-108/07-08-21+GST 190.22 0.02
07-09-2021 BIL/INFT/000202509783/NA/ RIYAL QURESHI 2,000.00 2,000.02
UPI/125050111406/Payment from
07-09-2021 Ph/9769449637@ybl/Bank of 2,000.00 0.02
India/IBL95bc1f03d33046708fe04401831631ad/
07-09-2021 BIL/INFT/000202572677/NA/ RIYAL QURESHI 1,600.00 1,600.02
UPI/125075661213/Emi/upicolra.894529/HDFC
07-09-2021 BANK 1,593.00 7.02
LTD/IBLabf98b5e42a2417986302971fa7ebf51/
07-09-2021 VISA REF SACHDEVA AUTOMBILES 1.16 8.18
 Page 5 of 8

DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE

07-09-2021 BANK CHARGES RTNCHG01-108/07-08-21+GST 8.17 0.01
09-09-2021 BIL/INFT/000204437608/NA/ RIYAL QURESHI 10,000.00 10,000.01
MMT/IMPS/125215709372/NA/Minal
09-09-2021 MOBILE BANKING Rawa/BARB0KHARXX 10,000.00 0.01
09-09-2021 BANK CHARGES RTNCHG01-108/07-08-21+GST 0.01 0.00
UPI/125343358294/Payment from
10-09-2021 Ph/7208075105@ybl/HDFC BANK 2,000.00 2,000.00
LTD/YBL25bf8f41ee89455da10c02fda09e160f
UPI/125342040229/UPI/shakilsiddiqui8/Bharat Co-
10-09-2021 Opera/ICI5f24d81634c84f1fbf069c8287a63e4a/ 2,000.00 0.00
UPI/125399616432/UPI/lokeshbagaria32/HDFC
10-09-2021 BANK 5,000.00 5,000.00
LTD/HDFe22a6388c2fd4472930ce3fabc52ef41
UPI/125351085862/UPI/raoufshaikh25@o/HDFC
10-09-2021 BANK 5,000.00 0.00
LTD/ICIbe8aea44b82641d4a5eac6eed807e71a/
UPI/125317166428/Payment from
10-09-2021 Ph/7208075105@ybl/HDFC BANK 5,000.00 5,000.00
LTD/YBL2ee33905b223421a9cc50449efd2d198
UPI/125352253398/UPI/shakilsiddiqui8/Bharat Co-
10-09-2021 Opera/ICIb57e26a194744f39bee87f39c69ea0f5/ 5,000.00 0.00
16-09-2021 CASH DEPOSIT CAM/01582SRY/CASH DEP/16-09-21/6300 2,000.00 2,000.00
UPI/125965284778/Payment from
16-09-2021 Ph/9769449637@ibl/Bank of 2,000.00 0.00
India/IBL0bffa541bcc047abac7b146b07e4b3ad/
CMS/ CMS2135759675/NIRMAL BANG SECURITIES
18-09-2021 CMS TRANSACTION PVT LT 70.75 70.75
20-09-2021 BANK CHARGES CashDep Chgs 22-31aug21+GST 59.00 11.75
30-09-2021 698601700606:Int.Pd:30-06-2021 to 29-09-2021 41.00 52.75
06-10-2021 BIL/INFT/000225470566/NA/ RIYAL QURESHI 3,200.00 3,252.75
UPI/127998291672/UPI/billdesk.ltfina/ICICI
06-10-2021 Bank/ICI5461a54fa2794b84b76d2f89f034cc71/ 3,120.00 132.75
UPI/127927462114/Payment from
06-10-2021 Ph/9773108399@ybl/ICICI 60.00 72.75
Bank/IBL57b23ffe88914b15a4c858478e8c6406/
07-10-2021 RTNCHG-127/02-09-21+GST 72.73 0.02
08-10-2021 BANK CHARGES RTNCHG01-108/07-08-21+GST 0.02 0.00
UPI/128214385872/Payment from
11-10-2021 Ph/BILLDESKPP@ybl/Yes Bank 48.00 (-) 48.00
Ltd/IBL4f203794881b49acb5dc7fb92e331b19/
11-10-2021 BIL/INFT/000227945008/NA/ RIYAL QURESHI 500.00 452.00
UPI/128235021080/Payment from
11-10-2021 Ph/EURONET@ybl/Yes Bank 199.00 253.00
Ltd/IBL7241f07fdfa4464893b6bfb74a6c3634/
UPI/128211584003/Payment from
11-10-2021 Ph/BILLDESKPP@ybl/Yes Bank 199.00 54.00
Ltd/IBL58e55e2486044ebc97d877eb0be50d4b/
11-10-2021 BANK CHARGES RTNCHG-127/02-09-21+GST 54.00 0.00
11-10-2021 BIL/INFT/000230253680/NA/ RIYAL QURESHI 1,000.00 1,000.00
UPI/128454883082/Payment from
11-10-2021 Ph/7208075105@ybl/HDFC BANK 1,000.00 0.00
LTD/IBL4c9433282a084ea78d2b3f445da9d061/
MMT/IMPS/128702729686/FUNDS
14-10-2021 MOBILE BANKING TRANSFER/NEXTBILLIO/Yes Bank Ltd 1.00 1.00
UPI/128786939012/Payment from
14-10-2021 Ph/mohamadvadnagra/Bank of 50.00 51.00
India/IBLac5c21be457f46d9a972eeadd9f4eebc
UPI/128716011775/UPI/paytmqr28100505/Paytm
14-10-2021 Payments 39.00 12.00
/ICI9adf6388810d4b9c8ac6482768a97b46/
UPI/128914200251/Payment from
16-10-2021 Ph/9773151527@ybl/ICICI 25,000.00 25,012.00
Bank/YBLb206a1b5f9ae41dc8e0b77b9359f0d6a
 Page 6 of 8

DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/128902897419/Payment from
16-10-2021 Ph/7208075105@ybl/HDFC BANK 25,000.00 12.00
LTD/IBL194d5cf75bb147bf9a9f93c2338ec120/
UPI/128939625644/UPI/rm808022@okicic/Bank of
16-10-2021 Baroda/ICI7e684ade49634f43a677f1cec94beea3 10,000.00 10,012.00
UPI/128979848971/Payment from
16-10-2021 Ph/7208075105@ybl/HDFC BANK 10,000.00 12.00
LTD/IBLefb5995abed74be393f4f31a61ffebcb/
MMT/IMPS/128912697066/;/K M MOM CO/The
16-10-2021 MOBILE BANKING Bharat Co-o 5,000.00 5,012.00
UPI/128953392495/Payment from
16-10-2021 Ph/7208075105@ybl/HDFC BANK 5,000.00 12.00
LTD/IBLc257779e678a468bbc3d44f9e383249c/
UPI/129808350110/Payment from
25-10-2021 Ph/7208075105@ybl/HDFC BANK 280.00 292.00
LTD/YBL0e11f16f6ddd499b8056fcf4b2e66560
UPI/129874915604/Paying for
25-10-2021 book/makemytrip@icic/ICICI 176.36 115.64
Bank/ICID096BD45403344069D31D942E6871AA5/
UPI/129874962324/Paying for
25-10-2021 book/makemytrip@icic/ICICI 109.98 5.66
Bank/ICI29A47F7F8B47496F838F1BD6F629A5DB/
UPI/129991053208/Payment from
26-10-2021 Ph/7208075105@ybl/HDFC BANK 6,000.00 6,005.66
LTD/YBLcb3f55113163449abf5d1c325094f31d
UPI/129953020805/Payment from
26-10-2021 Ph/7208075105@ybl/HDFC BANK 6,000.00 5.66
LTD/IBL4b28d363660e42a78adab6548e2b5c20/
26-10-2021 BANK CHARGES RTNCHG-127/02-09-21+GST 5.66 0.00
30-10-2021 BIL/INFT/000243764414/NA/ RIYAL QURESHI 3,200.00 3,200.00
UPI/130338958751/UPI/billdesk.ltfina/ICICI
30-10-2021 Bank/ICIc99a22bf408a433ea2a867e931b05e78/ 3,120.00 80.00
01-11-2021 BANK CHARGES RTNCHG-127/02-09-21+GST 80.00 0.00
01-11-2021 BIL/INFT/000246082825/NA/ RIYAL QURESHI 550.00 550.00
UPI/130575108689/UPI/anupamapoorw@ok/ICICI
01-11-2021 Bank/ICI653938242c6b44f9b50051b398c89874/ 544.00 6.00
02-11-2021 BIL/INFT/000246909010/NA/ RIYAL QURESHI 6,000.00 6,006.00
UPI/130687058645/UPI/lanki7008@okaxi/State Bank
02-11-2021 Of I/ICI944927db384a4eb18562b6029fc23a1d/ 6,000.00 6.00
02-11-2021 BIL/INFT/000247484698/NA/ RIYAL QURESHI 500.00 506.00
UPI/130698726245/by riyal
02-11-2021 quresh/mohdmurad525@ok/Union Bank of 500.00 6.00
I/ICI7ad217caabde4bd8908ec8a40c2e9636
UPI/130748183011/UPI/lokeshbagaria32/HDFC
03-11-2021 BANK 50,000.00 50,006.00
LTD/HDF9f2ecf70b61748959649ac452baba9f7
MMT/IMPS/130713564540/NA/RAOFF
03-11-2021 MOBILE BANKING SHAI/HDFC0000079 50,000.00 6.00
08-11-2021 BANK CHARGES RTNCHG-127/02-09-21+GST 6.00 0.00
UPI/131567348272/UPI/raoufshaikh25@o/HDFC
11-11-2021 BANK 30.00 30.00
LTD/HDF3c9999326a944ae284e5049b5364a595
UPI/131523748242/UPI/sheraj03@okaxis/Kotak
11-11-2021 Mahindra /ICI6845e71836f546a8b5407eb67b85ac7f/ 30.00 0.00
11-11-2021 BIL/INFT/000254855509/NA/ RIYAL QURESHI 50,000.00 50,000.00
UPI/131526789069/UPI/abraiborn2016@o/HDFC
11-11-2021 BANK LTD/ICIfa0babd925b54cc19440a3cd78f35ef3/ 50,000.00 0.00
MMT/IMPS/131600979511/rahilloan/ROHITMANOJ/
12-11-2021 MOBILE BANKING Bank of Baroda 5.00 5.00
UPI/131627777361/UPI/rm808022@okicic/Bank of
12-11-2021 Baroda/ICI2a9c4bf78c524c28a952d094adbf57e1 10.00 15.00
UPI/131629304306/UPI/ccpay.437551753/ICICI
12-11-2021 Bank/ICI052f08c37cee440b93e79ef6eb8b601d/ 1.00 14.00
MMT/IMPS/131610873663/rahil/ROHITMANOJ/Ban
12-11-2021 MOBILE BANKING k of Baroda 5.00 19.00
 Page 7 of 8

DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE

MMT/IMPS/131610954462/rahilloan/ROHITMANOJ/
12-11-2021 MOBILE BANKING Bank of Baroda 1,00,000.00 1,00,019.00
MMT/IMPS/131610013087/rahil/ROHITMANOJ/Ban
12-11-2021 MOBILE BANKING k of Baroda 50,000.00 1,50,019.00
MMT/IMPS/131610279650/rahilloan/ROHITMANOJ/
12-11-2021 MOBILE BANKING Bank of Baroda 40,000.00 1,90,019.00
UPI/131629651096/UPI/qureshiiaasif@o/Bank of
12-11-2021 India/ICI1e3e07c60007495aa323fcb3798394fd/ 10,000.00 1,80,019.00
MMT/IMPS/131610586265/NA/RAOFF
12-11-2021 MOBILE BANKING SHAI/HDFC0000079 50,000.00 1,30,019.00
MMT/IMPS/131610591802/NA/RAOFF
12-11-2021 MOBILE BANKING SHAI/HDFC0000079 50,000.00 80,019.00
MMT/IMPS/131610591928/NA/RAOFF
12-11-2021 MOBILE BANKING SHAI/HDFC0000079 50,000.00 30,019.00
MMT/IMPS/131610601019/NA/Aasif
12-11-2021 MOBILE BANKING sali/BKID0000163 30,000.00 19.00
12-11-2021 BIL/INFT/000255121965/NA/ RIYAL QURESHI 11,000.00 11,019.00
12-11-2021 BIL/INFT/000255194287/NA/ RIYAL QURESHI 11,000.00 19.00
12-11-2021 MOBILE BANKING MMT/IMPS/131613160940/BCBM0000008 10.00 9.00
12-11-2021 BIL/INFT/000255305220/NA/ RIYAL QURESHI 5,000.00 5,009.00
UPI/131633726872/UPI/gpay-1117443573/Axis Bank
12-11-2021 Ltd./ICIe281fef478e34014ba0f9066106b2016/ 40.00 4,969.00
UPI/131633976643/UPI/q834600612@ybl/Axis Bank
12-11-2021 Ltd./ICIc54a5dc7315a4ae7a202c2784539d8b9/ 25.00 4,944.00
UPI/131686308645/Payment from
12-11-2021 Ph/7208075105@ybl/HDFC BANK 5,500.00 10,444.00
LTD/YBLe55a93d28d7941da8f55e144b2d401f6
12-11-2021 MOBILE BANKING MMT/IMPS/131615608311/BCBM0000008 5,000.00 5,444.00
MMT/IMPS/131616620052/NA/K M MOM
12-11-2021 MOBILE BANKING CO/BCBM0000008 500.00 4,944.00
UPI/131636542646/UPI/paytmqr28100505/Paytm
12-11-2021 Payments /ICIfdeddfa433d24e3ea96cffcc4d168eb9/ 50.00 4,894.00
TOTAL 8,46,509.74 8,44,622.31 4,894.00

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFSC CODE NAME OF NOMINEE
Savings 100025599911 400229181 ESFB0009039 -

Nominee name is displayed only on specific consent of customer.

 Page 8 of 8

BIRENDRA YADAV

For ICICI Bank Limited

Authorised Signatory

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 of Rs 2 Lakh and up to Rs 10 Lakh) NEFT - National Electronic Fund Transfer (Up to Rs 10 Lakh)
• **Mode is available only for transaction done after August 6, 2013.

• 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.
•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.

REGD ADDRESS: LANDMARK, RACE COURSE CIRCLE, VADODARA - 390 007, INDIA www.icicibank.com
This is an authenticated intimation/statement. Category of service: Banking & Financial Services.
Customers are requested to immediately notify the Bank of any discrepancy in the statement Registration No. MIV/ST/Bank & Finc/4.
MHW1-WBG-M-05-Mar-12/148405000053 - 525322040/207/207 - Utility - 1 of 1 PAN Based STC No. AAACI1195HSST001.