PATEL KETANKUMAR

Joint Holder :- PATEL HEMALBEN

9, AKSHAYKUNJ SOC, (MEERANAGAR SOC),
SALPARA RD, VEJALPUR,
AHMEDABAD Customer No :080028972
GUJARAT-INDIA Scheme :PRIME SALARY ACCOUNT
380051 Currency :INR

Statement of Axis Account No :080010100183918 for the period (From : 19-10-2020 To : 18-10-2021)

Tran Date Chq No Particulars Debit Credit Balance Init.

Br

OPENING BALANCE 75678.66

INB/777311862/INDIA
20-10-2020 INFOLINE/080010100183918 26000.00 49678.66 080
ATM-CASH-
23-10-2020 AXIS/CWRO24702/2817/231020/PATAN 5000.00 44678.66 080

28-10-2020 NACH-DR- LIC OF INDIA 1021.00 43657.66 2567

28-10-2020 NACH-DR- LIC OF INDIA 536.00 43121.66 2567
28-10-2020 NACH-DR- LIC OF INDIA 458.00 42663.66 2567
NEFT/SBIN420307979375/Mr KETAN/STATE
02-11-2020 BAN//ATTN// 40000.00 82663.66 248
INB/780096021/INDIA
02-11-2020 INFOLINE/080010100183918 51000.00 31663.66 080

03-11-2020 27990 By Clg 027990 234 Ahmedabad 2550.00 34213.66 2567

25-11-2020 46 By Clg 000046 011 Ahmedabad 1530.00 35743.66 2567

30-11-2020 NACH-DR- LIC OF INDIA 458.00 35285.66 2567
30-11-2020 NACH-DR- LIC OF INDIA 536.00 34749.66 2567

30-11-2020 NACH-DR- LIC OF INDIA 1021.00 33728.66 2567

04-12-2020 1Chqs/41220004701005 49.80 33778.46 047

16-12-2020 63772 By Clg 063772 240 Ahmedabad 3600.00 37378.46 2567

NEFT/CMS1734065577/INDIA I/ICICI B/INDIA
21-12-2020 INFOLINE 51000.00 88378.46 248
INB/NEFT/AXIR203567731309/Ketan S /STATE
21-12-2020 B/Back t 51000.00 37378.46 080
INB/791401783/INDIA
21-12-2020 INFOLINE/080010100183918 8000.00 29378.46 080
NEFT/CMS1738535081/INDIA I/ICICI B/INDIA
24-12-2020 INFOLINE 150000.00 179378.46 248
28-12-2020 NACH-DR- LIC OF INDIA 458.00 178920.46 2567
28-12-2020 NACH-DR- LIC OF INDIA 536.00 178384.46 2567

28-12-2020 NACH-DR- LIC OF INDIA 1021.00 177363.46 2567

31-12-2020 816627 By Clg 816627 240 Ahmedabad 840.00 178203.46 2567

080010100183918:Int.Pd:01-10-2020 to 31-12-
31-12-2020 2020 430.00 178633.46 080
ECS/TECH PROCESS SOLUTION
02-01-2021 LTD/142445911/SBI Life I 150000.00 28633.46 080
17-01-2021 GST @18% on Charge 2.70 28630.76 080
17-01-2021 Consolidated Charges for A/c 15.00 28615.76 080
28-01-2021 NACH-DR- LIC OF INDIA 536.00 28079.76 2567
28-01-2021 NACH-DR- LIC OF INDIA 458.00 27621.76 2567

28-01-2021 NACH-DR- LIC OF INDIA 1021.00 26600.76 2567

NEFT/CMS1855761120/INDIA I/ICICI B/INDIA
12-03-2021 INFOLINE 10000.00 36600.76 248
 NEFT/CMS1870021159/INDIA I/ICICI B/INDIA
22-03-2021 INFOLINE 15000.00 51600.76 248

22-03-2021 1Chqs/220321000301005 4625.00 56225.76 003

ATM-CASH-
AXIS/DPRH305201/7178/230321/AHMEDABA
23-03-2021 D 5000.00 51225.76 080
NEFT/CMS1876746357/INDIA I/ICICI B/INDIA
26-03-2021 INFOLINE 25000.00 76225.76 248
29-03-2021 NACH-DR- LIC OF INDIA 458.00 75767.76 2567
29-03-2021 NACH-DR- LIC OF INDIA 536.00 75231.76 2567

29-03-2021 NACH-DR- LIC OF INDIA 1021.00 74210.76 2567

080010100183918:Int.Pd:01-01-2021 to 31-03-
31-03-2021 2021 254.00 74464.76 080
INB/NEFT/AXIR210923260769/Ketan S /STATE
02-04-2021 B/PPF/PP 50000.00 24464.76 080
18-04-2021 GST @18% on Charge 2.70 24462.06 080
18-04-2021 Consolidated Charges for A/c 15.00 24447.06 080
NEFT/SBIN221109272952/Mr KETAN/STATE
19-04-2021 BAN//ATTN// 200000.00 224447.06 248
INB/818859876/INDIA
19-04-2021 INFOLINE/080010100183918 100000.00 124447.06 080
INB/819085174/INDIA
20-04-2021 INFOLINE/080010100183918 100000.00 24447.06 080

28-04-2021 NACH-DR- LIC OF INDIA 1021.00 23426.06 2567

28-04-2021 NACH-DR- LIC OF INDIA 458.00 22968.06 2567
28-04-2021 NACH-DR- LIC OF INDIA 536.00 22432.06 2567
NEFT/SBIN221123083470/Mr KETAN/STATE
03-05-2021 BAN//ATTN// 40000.00 62432.06 248
INB/821611613/INDIA
03-05-2021 INFOLINE/080010100183918 40000.00 22432.06 080

06-05-2021 95 CLG/000095/050521/HDFC BANK LT 6327.00 28759.06 2567

28-05-2021 NACH-DR- LIC OF INDIA 458.00 28301.06 2567
28-05-2021 NACH-DR- LIC OF INDIA 536.00 27765.06 2567

28-05-2021 NACH-DR- LIC OF INDIA 1021.00 26744.06 2567

12-06-2021 IMPS/P2A/116318085750/IIFLSECU/ICICIBAN/ 6877.83 33621.89 080

NEFT/CMS1980856979/INDIA I/ICICI B/INDIA
15-06-2021 INFOLINE 33122.17 66744.06 248
28-06-2021 NACH-DR- LIC OF INDIA 536.00 66208.06 2567
28-06-2021 NACH-DR- LIC OF INDIA 458.00 65750.06 2567

28-06-2021 NACH-DR- LIC OF INDIA 1021.00 64729.06 2567

080010100183918:Int.Pd:01-04-2021 to 30-06-
01-07-2021 2021 262.00 64991.06 080
INB/833976837/RELIANCE NIPPON LIFE
02-07-2021 INSURANCE(CCAV 40900.00 24091.06 080
NEFT/CMS2008005702/INDIA I/ICICI B/INDIA
03-07-2021 INFOLINE 50000.00 74091.06 248
NEFT/CMS2014146420/INDIA I/ICICI B/INDIA
07-07-2021 INFOLINE 6115.02 80206.08 248
NEFT/CMS2015521183/INDIA I/ICICI B/INDIA
08-07-2021 INFOLINE 143884.90 224090.98 248

13-07-2021 15679 By Clg 015679 240 Ahmedabad 1550.00 225640.98 2567

15-07-2021 GRILT/I10746480/17 14229.00 211411.98 080

18-07-2021 GST @18% on Charge 2.70 211409.28 080
18-07-2021 Consolidated Charges for A/c 15.00 211394.28 080
20-07-2021 INB/837875634/PAYU.IN/ 11.00 211383.28 080
20-07-2021 INB/837875878/PAYU.IN/ 99.00 211284.28 080
 NEFT/CMS2035215889/INDIA I/ICICI B/INDIA
20-07-2021 INFOLINE 14229.00 225513.28 248

22-07-2021 ZOMAT/I10829586/195 14820.00 210693.28 080

22-07-2021 ICONN REF/837875634/IBIBO/DT.22-07-2021 11.00 210704.28 100
NEFT/CMS2038397711/INDIA I/ICICI B/INDIA
23-07-2021 INFOLINE 14820.00 225524.28 248
28-07-2021 NACH-DR- LIC OF INDIA 536.00 224988.28 2567
28-07-2021 NACH-DR- LIC OF INDIA 458.00 224530.28 2567

28-07-2021 NACH-DR- LIC OF INDIA 1021.00 223509.28 2567

INB/839428929/INDIA
28-07-2021 INFOLINE/080010100183918 200000.00 23509.28 080
NEFT/CMS2058629962/INDIA I/ICICI B/INDIA
04-08-2021 INFOLINE 28000.00 51509.28 248
28-08-2021 NACH-DR- LIC OF INDIA 536.00 50973.28 2567
28-08-2021 NACH-DR- LIC OF INDIA 458.00 50515.28 2567

28-08-2021 NACH-DR- LIC OF INDIA 1021.00 49494.28 2567

INB/NEFT/AXIR212417987285/Ketan S /STATE
29-08-2021 B/Pay 20000.00 29494.28 080

02-09-2021 1Chqs/20921000301006 5175.00 34669.28 003

16-09-2021 228 By Clg 000228 259 Ahmedabad 2000.00 36669.28 2567

16-09-2021 56610 By Clg 056610 240 Ahmedabad 3600.00 40269.28 2567

16-09-2021 1907 By Clg 001907 002 Ahmedabad 500.00 40769.28 2567

27-09-2021 ASHOK LEYLAND L/ 600.00 41369.28 080
28-09-2021 NACH-DR- LIC OF INDIA 458.00 40911.28 2567
28-09-2021 NACH-DR- LIC OF INDIA 536.00 40375.28 2567

28-09-2021 NACH-DR- LIC OF INDIA 1021.00 39354.28 2567

080010100183918:Int.Pd:01-07-2021 to 30-09-
01-10-2021 2021 620.00 39974.28 080
NEFT/CMS2165539545/INDIA I/ICICI B/INDIA
05-10-2021 INFOLINE 80000.00 119974.28 248

06-10-2021 4054 By Clg 004054 002 Ahmedabad 1600.00 121574.28 2567

BRN-CLG-CHQ PAID TO SEJAL V
13-10-2021 360681 MANKODI/STATE BANK OF 100000.00 21574.28 2567
NEFT/CMS2181008606/INDIA I/ICICI B/INDIA
13-10-2021 INFOLINE 7901.60 29475.88 248
NEFT/CMS2181105341/INDIA I/ICICI B/INDIA
13-10-2021 INFOLINE 187099.00 216574.88 248

TRANSACTION TOTAL 998277.10 1139173.32

CLOSING BALANCE 216574.88

Unless the constituent notifies the bank immediately of any discrepancy found by him/her in this statement of Account, it will be taken that
he/she has found the account correct.
The closing balance as shown/displayed includes not only the credit balance and / or overdraft limit, but also funds which are under clearing. It
excludes the amount marked as lien, if any. Hence the closing balance displayed may not be the effective available balance. For any further
clarifications, please contact the Branch.
We would like to reiterate that, as a policy, Axis Bank does not ask you to part with/disclose/revalidate of your iConnect passord,login id and
debit card number through emails OR phone call Further,we would like to reiterate that Axis Bank shall not be liable for any losses arising
from you sharing/disclosing of your login id, password and debit card number to anyone. Please co-operate by forwarding all such
suspicious/spam emails, if received by you, to customer.service@axisbank.com
With effect from 1st August 2016, the replacement charges for Debit card and ATM card applicable on Current accounts have been revised. To
know more about the applicable charges,please visit www.axisbank.com
REGISTERED OFFICE - AXIS BANK LTD,TRISHUL,Opp. Samartheswar Temple, Near Law Garden, Ellisbridge, Ahmedabad .
380006.This is a system generated output and requires no signature.

Legends :
ICONN-Transaction trough Internet Banking
VMT-ICON-Visa Money Transfer through Internet Banking
AUTOSWEEP-Transfer to linked fixed deposit
REV SWEEP-Interest on Linked fixed Deposit
SWEEP TRF-Transfer from Linked Fixed Deposit / Account
VMT-Visa Money Transfer through ATM
CWDR-Cash Withdrawal through ATM
PUR-POS purchase
TIP/ SCG-Surcharge on usage of debit card at pumps/railway ticket purchase or hotel tips
RATE.DIFF-Difference in rates on usage of card internationally
CLG-Cheque Clearing Transaction
EDC-Credit transaction through EDC Machine
SETU -Seamless electronic fund transfer through AXIS Bank
Int.pd-Interest paid to customer
Int.Coll-Interest collected from the customer

++++ End of Statement ++++