Page 1 of 2 M-87654312-1

0011A5/87654312-1/1-2/RESGB/02-14
Your Base Branch : ANDHERI BRANCH,
GROUND FLOOR, SAGAR AVENUE, OPP.
SHOPPERS STOP, S.V. ROAD, ANDHERI (W)
MR.SIMPLE RADHESHYAM PANDEY 400058
226/2,MUSE YADAV CWL,SHIL ROAD,KALYAN EAST,
HOME BABA TEKDI PATRI POOL
THANE
: Visit www.icicibank.com
MAHARASHTRA - INDIA - 421306 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 : XXXXX3783 as on February 28, 2021

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX0151 32,799.46 0.00 32,799.46 Not Registered

TOTAL 32,799.46 0.00 32,799.46

Statement of Transactions in Savings Account XXXXXXXX0151 in INR for the period February 01, 2021 - February 28, 2021

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-02-2021 B/F 20,259.89
01-02-2021 UPI/103213184529/UDEMY/billdesk@hdfcba/HDFC BANK LTD/ 570.00 19,689.89
02-02-2021 UPI/103323332277/UPI/gpay-1116601112/Axis Bank Ltd./ 3,628.00 16,061.89
03-02-2021 UPI/103411070867/UPI/himanshuvinayku/Paytm Payments/ 3,000.00 13,061.89
03-02-2021 UPI/103411178425/UPI/q47178268@ybl/Paytm Payments 20.00 13,041.89
04-02-2021 UPI/103509382967/UPI/shapeupthefitne/HDFC BANK LTD 80.00 12,961.89
NEFT-N036210508363996-NEXTBILLION TECHNOLOGY P L
05-02-2021 19,864.71 32,826.60
CLIENT F-YESB0000001-002281300007456-YESB0000001
05-02-2021 UPI/103619839070/UPI/mayur88nukalwar/Central BankOf 50.00 32,876.60
05-02-2021 UPI/103621078573/UPI/lalitshinde919@/Central BankOf 100.00 32,976.60
05-02-2021 UPI/103621208700/Gattu/lalitshinde919@/Central Bank Of 50.00 33,026.60
08-02-2021 MOBILE BANKING MMT/IMPS/103810639589/Feb2021/Shree Bala/AJHC0001017 825.00 32,201.60
UPI/103813217028/Bank balance/nishchal.pandey/HDFC BANK
08-02-2021 50,000.00 82,201.60
LTD
08-02-2021 UPI/103920420952/UPI/gpay-1117998074/Axis Bank Ltd./ 30.00 82,171.60
09-02-2021 UPI/104010038131/UPI/nishchal.pandey/HDFC BANK LTD 2,000.00 80,171.60
09-02-2021 UPI/104011659688/UPI/goog-payment@ok/Axis Bank Ltd. 6.00 80,177.60
09-02-2021 UPI/104011664307/UPI/goog-payment@ok/Axis Bank Ltd. 6.00 80,183.60
09-02-2021 NET BANKING BIL/000041432934/ICICI BANK CREDIT CA/437551801156 116.82 80,066.78
UPI/104023407217/Rakho app k pas/lalitshinde919@/Central
09-02-2021 20,000.00 1,00,066.78
Bank Of
09-02-2021 UPI/104023409177/UPI/lalitshinde919@/Central BankOf 10,000.00 1,10,066.78
10-02-2021 UPI/104114023579/collect-pay-req/ccavenues@icici/ICICI Bank/ 899.00 1,09,167.78
10-02-2021 UPI/104116184564/UPI/paytmqr28100505/Paytm Payments/ 30.00 1,09,137.78
10-02-2021 UPI/104117349608/UPI/paytmqr28100505/Paytm Payments/ 30.00 1,09,107.78
11-02-2021 UPI/104214350332/UPI/DUMMY NAME/Allahabad Bank 500.00 1,08,607.78
11-02-2021 UPI/104214855998/UPI/goog-payment@ok/Axis Bank Ltd. 6.00 1,08,613.78
12-02-2021 UPI/104301385685/UDEMY/billdesk@hdfcba/HDFC BANK LTD/ 455.00 1,08,158.78
12-02-2021 UPI/104312478547/UPI/choudharymohanl/ICICI Bank 230.00 1,07,928.78
16-02-2021 UPI/104714655216/SBICARD/billdesk@hdfcba/HDFC BANK LTD/ 30,000.00 77,928.78
16-02-2021 UPI/104717274340/UPI/lalitshinde919@/Central BankOf/ 30,000.00 47,928.78
18-02-2021 UPI/104917339174/UPI/nishchal.pandey/HDFC BANK LTD 1.00 47,927.78
18-02-2021 UPI/104917192324/UPI/nishchal.pandey/HDFC BANK LTD 12,000.00 59,927.78
18-02-2021 UPI/104917378626/UPI/nishchal.pandey/HDFC BANK LTD 4,000.00 55,927.78
UPI/104917420400/Rewarded for pa/goog-payment@ok/Axis
18-02-2021 9.00 55,936.78
Bank Ltd.
18-02-2021 UPI/104917258339/UPI/ganeshdairy2013/State Bank Of I/ 65.00 55,871.78
18-02-2021 OTHER ATMS NFS/APCN5745/CASH WDL/18-02-21 2,000.00 53,871.78
19-02-2021 UPI/105019167163/UPI/q23141736@ybl/State Bank Of I 40.00 53,831.78
Total: 1,12,091.71 78,519.82 53,831.78
 Page 2 of 2 M-87654312-1

Statement of Transactions in Savings Account XXXXXXXX0151 in INR for the period February 01, 2021 - February 28, 2021

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

19-02-2021 UPI/105020457793/UPI/akash.7w@okicic/ICICI Bank 100.00 53,931.78
19-02-2021 UPI/105021077716/UPI/nishchal.pandey/HDFC BANK LTD 46,000.00 7,931.78
20-02-2021 UPI/105112322132/UPI/mayur88nukalwar/Central BankOf 200.00 8,131.78
20-02-2021 UPI/105119450512/UPI/lalitshinde919@/Central BankOf 250.00 8,381.78
UPI/105310266397/JIO20BR0005UK7H/jio@yesbank/Yes Bank
22-02-2021 555.00 7,826.78
Ltd/
UPI/105395416818/Oid12913469785@/paybil3066@payt/Paytm
22-02-2021 50.00 7,776.78
Payments/
22-02-2021 UPI/105318775063/UPI/gbharat133@okhd/HDFC BANK LTD 200.00 7,976.78
22-02-2021 UPI/105321898296/UPI/singhraj7607@ok/The Kalyan Jana 600.00 8,576.78
22-02-2021 UPI/105323314185/collect-pay-req/bd.electricity@/ICICI Bank/ 2,660.00 5,916.78
23-02-2021 UPI/105421079952/UPI/nishchal.pandey/HDFC BANK LTD 1,200.00 4,716.78
UPI/105423353268/Request from Am/amazon@apl/Axis Bank
23-02-2021 249.00 4,467.78
Ltd./
NEFT-N055210521508003-NEXTBILLION TECHNOLOGY P L
24-02-2021 25,143.30 29,611.08
CLIENT F-YESB0000001-002281300007456-YESB0000001
24-02-2021 UPI/105510837130/SBICARD/billdesk@hdfcba/HDFC BANK LTD/ 24,011.62 5,599.46
24-02-2021 UPI/105512863744/UPI/gbharat133@okhd/HDFC BANK LTD 300.00 5,899.46
UPI/105512245088/Manoj Bhandup t/lalitshinde919@/Central
24-02-2021 300.00 6,199.46
Bank Of
24-02-2021 UPI/105512435619/UPI/jeetudas74@okic/Bank of India 1,500.00 4,699.46
24-02-2021 UPI/105513380417/UPI/lalitshinde919@/Central BankOf 15,000.00 19,699.46
24-02-2021 UPI/105513385707/UPI/lalitshinde919@/Central BankOf 15,000.00 34,699.46
24-02-2021 UPI/105515423456/UPI/lalitshinde919@/Central BankOf/ 1,501.00 33,198.46
26-02-2021 UPI/105718036239/JIO20BR0005V61N/jio@citibank/Citibank/ 399.00 32,799.46
Total: 57,093.30 78,125.62 32,799.46

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of January, 2021
POINTS BALANCE*
NUMBER NUMBER My Savings REWARD DEBIT CARD
XXXXXXXX0151 XXXXXXXXXXXX0703 0 0 245
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on February 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 XXXXXXXX0151 400229003 ICIC0000011 -

* 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. Jan 01, 2022.
For details, please visit https://www.icicibank.com/notice-board.page
l There is a change in the terms and conditions for Salary Accounts. For detailed terms and
conditions, visit www.icicibank.com/managed-assets/docs/terms-condition/tnc-savings-account.pdf
(Clause XV).
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. 5 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 error in the statement.
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 As per the prevailing guidelines of the Income Tax Act, 1961, if a valid PAN is not provided by
the customer, then the Form 15G/15H shall not be treated as valid and tax shall be deducted at
the prevailing rate or at 20%, whichever is higher. PAN can be updated online or at the nearest
branch.
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 PMJJBY Insurance: The insurance premium is collected on behalf of ICICI Prudential Life
Insurance Company Limited plus administration charges collected by ICICI Bank (including GST),
in line with extant laws. Effective Sep 01, 2018, a premium is charged on a pro rata basis for all
new enrolments in the scheme. It is noteworthy that the renewal premium for all existing
customers shall be charged for a period of one year (i.e. Rs 330) on May 25 - May 31 every year.
For details on the premium structure, refer to the Terms & Conditions under the Pradhan Mantri
Social Security Schemes at www.icicibank.com.
www.icicibank.com
Category of service: Banking & Financial Services.
Registration No. MIV/ST/Bank & Finc/4.
CIN : L65190GJ1994PLC021012
SR201850771