Customer Name Card Account No

MR JEEVAN WAGHESHWAR RASKAR 4375 XXXX XXXX 8007

ICICI BANK LIMITED
SHOP NO 10,11,12,03 BUILDING NO 23,24,25
AKSHAR SAGAR CHS SECTOR NO 11
SHANTI NAGAR MIRA ROAD
THANE 401107

Statement Period

01/04/2022 TO 31/03/2023

TRANSACTION DETAILS
Card Number : 0000 XXXX XXXX 3859
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
16-SEP-22 Interest Charges 0.00 1,959.74

16-SEP-22 CGST-CI@9% 0.00 176.38

16-SEP-22 SGST-CI@9% 0.00 176.38

04-OCT-22 CGST-CI@9% 0.00 40.50

04-OCT-22 SGST-CI@9% 0.00 40.50

04-OCT-22 AUTO DEBIT RETURN FEE 0.00 450.00

07-OCT-22 SGST-CI@9% 0.00 45.00

07-OCT-22 Late Payment Fee 0.00 500.00

07-OCT-22 CGST-CI@9% 0.00 45.00

17-OCT-22 SGST-CI@9% 0.00 18.06

17-OCT-22 CGST-CI@9% 0.00 18.06

17-OCT-22 Interest Charges 0.00 200.69

29-MAR-23 CGST-CI@9% 0.00 8.45

29-MAR-23 SGST-CI@9% 0.00 8.45

29-MAR-23 SR891597946/20067 Conv. Fee 1% on Rent Pay Trnx. Posted dt. 0.00 93.84
211222

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4375 XXXX XXXX 8007
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
13-JUN-22 74056632165216443714432 PHONEPE PVT LTD BANGALORE IN 0.00 -2.00

13-JUN-22 74056632165216443714762 PHONEPE PVT LTD BANGALORE IN 0.00 2.00

02-JUL-22 74332742184218323994613 PHONEPE RENTAL BANGALORE IN 0.00 5,278.00

26-JUL-22 74332742208220713748569 PHONEPE RENTAL BANGALORE IN 0.00 35,525.00

26-JUL-22 220452135937 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -5,278.00

31-JUL-22 220456306151 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -19,500.00

02-AUG-22 74332742215221481674475 PHONEPE RENTAL BANGALORE IN 0.00 30,450.00

10-AUG-22 220465030607 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -24,500.00

14-AUG-22 74332742227222667554479 THE CORNER MOBILE PUNE IN 0.00 27,000.00

28-AUG-22 74056632241224068381345 PHONEPE PVT LTD BANGALORE IN 0.00 20,400.00

03-SEP-22 220482001887 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -20,500.00

04-SEP-22 220482796710 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -22,000.00

13-SEP-22 74332742257225645372388 THE CORNER MOBILE PUNE IN 0.00 65,000.00

13-SEP-22 220489924932 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -25,000.00

16-SEP-22 CGST-CI@9% 0.00 43.88

16-SEP-22 Interest Amount Amortization - <1/24> 0.00 403.00

16-SEP-22 SGST-CI@9% 0.00 36.27

16-SEP-22 CGST-CI@9% 0.00 36.27

16-SEP-22 Principal Amount Amortization - <1/24> 0.00 1,844.77

16-SEP-22 INSTANT EMI OFFUS CONVERSION 0.00 0.00

16-SEP-22 THE CORNER MOBILE PUNE IN 0.00 -65,000.00

16-SEP-22 INSTANT EMI OFFUS CONVERSION 0.00 0.00

16-SEP-22 Processing Fee 0 : 1% 0.00 487.50

16-SEP-22 SGST-CI@9% 0.00 43.88

16-OCT-22 Principal Amount Amortization - <2/24> 0.00 1,860.02

16-OCT-22 CGST-CI@9% 0.00 34.90

16-OCT-22 SGST-CI@9% 0.00 34.90

16-OCT-22 Interest Amount Amortization - <2/24> 0.00 387.75

22-OCT-22 220519411370 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -10,758.45

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4375 XXXX XXXX 8007
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
05-NOV-22 74766512309244351385328 RENT PAYMENT PHONE 0.00 7,650.00
WWW.PHONEPE.C IN

07-NOV-22 Interest Amount Amortization - 0.00 102.00

<1/24>RENT PAYMENT PHONE

07-NOV-22 SGST-CI@9% 0.00 9.18

07-NOV-22 SGST-CI@9% 0.00 13.77

07-NOV-22 RENT PAYMENT PHONE 0.00 153.00

WWW.PHONEPE.C IN

07-NOV-22 RENT PAYMENT PHONE 0.00 -7,650.00

WWW.PHONEPE.C IN

07-NOV-22 CGST-CI@9% 0.00 13.77

07-NOV-22 CGST-CI@9% 0.00 9.18

07-NOV-22 Principal Amount Amortization - 0.00 272.57

<1/24>RENT PAYMENT PHONE

08-NOV-22 74056632313231298910036 RENT PAYMENT PHONEPE BANGALORE IN 0.00 1,326.00

08-NOV-22 220532688952 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -573.47

16-NOV-22 Principal Amount Amortization - <3/24> 0.00 1,875.40

16-NOV-22 Interest Amount Amortization - <3/24> 0.00 372.37

16-NOV-22 SGST-CI@9% 0.00 33.51

16-NOV-22 CGST-CI@9% 0.00 33.51

26-NOV-22 74056632331233004837345 RENT PAYMENT PHONEPE BANGALORE IN 0.00 12,240.00

26-NOV-22 220544426394 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -7,178.43

01-DEC-22 74766512336247923245000 PHONEPE PRIVATE LIMITE 0.00 7,140.00

WWW.PHONEPE.C IN

01-DEC-22 74766512336247923244870 PHONEPE PRIVATE LIMITE 0.00 12,240.00

WWW.PHONEPE.C IN

01-DEC-22 220548656396 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -12,240.00

07-DEC-22 SGST-CI@9% 0.00 8.85

07-DEC-22 CGST-CI@9% 0.00 8.85

07-DEC-22 Principal Amount Amortization - 0.00 276.20

<2/24>RENT PAYMENT PHONE

07-DEC-22 Interest Amount Amortization - 0.00 98.37

<2/24>RENT PAYMENT PHONE

16-DEC-22 Principal Amount Amortization - <4/24> 0.00 1,890.90

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4375 XXXX XXXX 8007
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
16-DEC-22 SGST-CI@9% 0.00 32.12

16-DEC-22 Interest Amount Amortization - <4/24> 0.00 356.87

16-DEC-22 CGST-CI@9% 0.00 32.12

19-DEC-22 SGST-CI@9% 0.00 16.52

19-DEC-22 Interest Amount Amortization - 0.00 183.60

<1/24>RENT PAYMENT PHONEPE

19-DEC-22 SGST-CI@9% 0.00 22.03

19-DEC-22 RENT PAYMENT PHONEPE BANGALORE IN 0.00 244.80

19-DEC-22 RENT PAYMENT PHONEPE BANGALORE IN 0.00 -12,240.00

19-DEC-22 CGST-CI@9% 0.00 22.03

19-DEC-22 74056632354235370906275 PHONEPE PVT LTD BANGALORE IN 0.00 9,384.00

19-DEC-22 CGST-CI@9% 0.00 16.52

19-DEC-22 Principal Amount Amortization - 0.00 427.47

<1/24>RENT PAYMENT PHONEPE

19-DEC-22 PHONEPE PRIVATE LIMITE 0.00 -7,140.00

WWW.PHONEPE.C IN

19-DEC-22 PHONEPE PRIVATE LIMITE 0.00 142.80

WWW.PHONEPE.C IN

19-DEC-22 SGST-CI@9% 0.00 12.85

19-DEC-22 CGST-CI@9% 0.00 12.85

19-DEC-22 Interest Amount Amortization - 0.00 107.10

<1/24>PHONEPE PRIVATE LIMITE

19-DEC-22 SGST-CI@9% 0.00 9.64

19-DEC-22 CGST-CI@9% 0.00 9.64

19-DEC-22 Principal Amount Amortization - 0.00 249.36

<1/24>PHONEPE PRIVATE LIMITE

19-DEC-22 PHONEPE PRIVATE LIMITE 0.00 -12,240.00

WWW.PHONEPE.C IN

19-DEC-22 PHONEPE PRIVATE LIMITE 0.00 244.80

WWW.PHONEPE.C IN

19-DEC-22 SGST-CI@9% 0.00 22.03

19-DEC-22 CGST-CI@9% 0.00 22.03

19-DEC-22 Interest Amount Amortization - 0.00 183.60

<1/24>PHONEPE PRIVATE LIMITE

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4375 XXXX XXXX 8007
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
19-DEC-22 SGST-CI@9% 0.00 16.52

19-DEC-22 CGST-CI@9% 0.00 16.52

19-DEC-22 Principal Amount Amortization - 0.00 427.47

<1/24>PHONEPE PRIVATE LIMITE

19-DEC-22 220562129891 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -12,900.00

19-DEC-22 220562133004 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -9,184.28

20-DEC-22 74056632355235474822450 Bajaj Finance Limited PUNE IN 0.00 530.00

27-DEC-22 220567197643 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -10,000.00

01-JAN-23 74056633002300118281482 PHONEPE PVT LTD BANGALORE IN 0.00 20,398.98

02-JAN-23 SGST-CI@9% 0.00 18.36

02-JAN-23 CGST-CI@9% 0.00 18.36

02-JAN-23 Convenience Fee on RentPay 1% 0.00 203.99

07-JAN-23 Interest Amount Amortization - 0.00 94.68

<3/24>RENT PAYMENT PHONE

07-JAN-23 Principal Amount Amortization - 0.00 279.89

<3/24>RENT PAYMENT PHONE

08-JAN-23 CGST-CI@9% 0.00 8.52

08-JAN-23 SGST-CI@9% 0.00 8.52

09-JAN-23 CashReward4797917 APPLE FTI EMI Sep-22 Cashback 0.00 -5,200.00

16-JAN-23 CGST-CI@9% 0.00 30.71

16-JAN-23 Interest Amount Amortization - <5/24> 0.00 341.24

16-JAN-23 SGST-CI@9% 0.00 30.71

16-JAN-23 Principal Amount Amortization - <5/24> 0.00 1,906.53

19-JAN-23 Principal Amount Amortization - 0.00 253.10

<2/24>PHONEPE PRIVATE LIMITE

19-JAN-23 CGST-CI@9% 0.00 9.30

19-JAN-23 SGST-CI@9% 0.00 9.30

19-JAN-23 Interest Amount Amortization - 0.00 103.36

<2/24>PHONEPE PRIVATE LIMITE

19-JAN-23 CGST-CI@9% 0.00 15.95

19-JAN-23 SGST-CI@9% 0.00 15.95

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4375 XXXX XXXX 8007
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
19-JAN-23 Interest Amount Amortization - 0.00 177.19
<2/24>RENT PAYMENT PHONEPE

19-JAN-23 Principal Amount Amortization - 0.00 433.88

<2/24>RENT PAYMENT PHONEPE

19-JAN-23 Interest Amount Amortization - 0.00 177.19

<2/24>PHONEPE PRIVATE LIMITE

19-JAN-23 Principal Amount Amortization - 0.00 433.88

<2/24>PHONEPE PRIVATE LIMITE

19-JAN-23 CGST-CI@9% 0.00 15.95

19-JAN-23 SGST-CI@9% 0.00 15.95

07-FEB-23 SGST-CI@9% 0.00 8.19

07-FEB-23 Interest Amount Amortization - 0.00 90.95

<4/24>RENT PAYMENT PHONE

07-FEB-23 CGST-CI@9% 0.00 8.19

07-FEB-23 Principal Amount Amortization - 0.00 283.62

<4/24>RENT PAYMENT PHONE

16-FEB-23 Interest Amount Amortization - <6/24> 0.00 325.48

16-FEB-23 SGST-CI@9% 0.00 29.29

16-FEB-23 CGST-CI@9% 0.00 29.29

16-FEB-23 Principal Amount Amortization - <6/24> 0.00 1,922.29

19-FEB-23 Interest Amount Amortization - 0.00 170.68

<3/24>RENT PAYMENT PHONEPE

19-FEB-23 Principal Amount Amortization - 0.00 440.39

<3/24>RENT PAYMENT PHONEPE

19-FEB-23 SGST-CI@9% 0.00 15.36

19-FEB-23 CGST-CI@9% 0.00 15.36

19-FEB-23 Interest Amount Amortization - 0.00 99.56

<3/24>PHONEPE PRIVATE LIMITE

19-FEB-23 SGST-CI@9% 0.00 8.96

19-FEB-23 CGST-CI@9% 0.00 8.96

19-FEB-23 Principal Amount Amortization - 0.00 256.90

<3/24>PHONEPE PRIVATE LIMITE

19-FEB-23 Interest Amount Amortization - 0.00 170.68

<3/24>PHONEPE PRIVATE LIMITE

19-FEB-23 Principal Amount Amortization - 0.00 440.39

<3/24>PHONEPE PRIVATE LIMITE

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4375 XXXX XXXX 8007
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
19-FEB-23 CGST-CI@9% 0.00 15.36

19-FEB-23 SGST-CI@9% 0.00 15.36

22-FEB-23 74056633054305370614905 Rent Payment PhonePe BANGALORE IN 0.00 2,550.26

23-FEB-23 CGST-CI@9% 0.00 2.30

23-FEB-23 Convenience Fee on RentPay 1% 0.00 25.50

23-FEB-23 SGST-CI@9% 0.00 2.30

07-MAR-23 SGST-CI@9% 0.00 7.85

07-MAR-23 Interest Amount Amortization - 0.00 87.17

<5/24>RENT PAYMENT PHONE

07-MAR-23 CGST-CI@9% 0.00 7.85

07-MAR-23 Principal Amount Amortization - 0.00 287.40

<5/24>RENT PAYMENT PHONE

16-MAR-23 SGST-CI@9% 0.00 27.86

16-MAR-23 Interest Amount Amortization - <7/24> 0.00 309.59

16-MAR-23 CGST-CI@9% 0.00 27.86

16-MAR-23 Principal Amount Amortization - <7/24> 0.00 1,938.18

19-MAR-23 SGST-CI@9% 0.00 14.77

19-MAR-23 CGST-CI@9% 0.00 14.77

19-MAR-23 Interest Amount Amortization - 0.00 95.71

<4/24>PHONEPE PRIVATE LIMITE

19-MAR-23 SGST-CI@9% 0.00 8.61

19-MAR-23 CGST-CI@9% 0.00 8.61

19-MAR-23 Principal Amount Amortization - 0.00 447.00

<4/24>RENT PAYMENT PHONEPE

19-MAR-23 Interest Amount Amortization - 0.00 164.07

<4/24>PHONEPE PRIVATE LIMITE

19-MAR-23 SGST-CI@9% 0.00 14.77

19-MAR-23 CGST-CI@9% 0.00 14.77

19-MAR-23 Principal Amount Amortization - 0.00 447.00

<4/24>PHONEPE PRIVATE LIMITE

19-MAR-23 Interest Amount Amortization - 0.00 164.07

<4/24>RENT PAYMENT PHONEPE

19-MAR-23 Principal Amount Amortization - 0.00 260.75

<4/24>PHONEPE PRIVATE LIMITE

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4501 XXXX XXXX 3006
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
17-NOV-22 Joining Fee 0.00 2,499.00

17-NOV-22 CGST-CI@9% 0.00 224.91

17-NOV-22 SGST-CI@9% 0.00 224.91

TRANSACTION DETAILS
Card Number : 4748 XXXX XXXX 1002
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
17-NOV-22 SGST-CI@9% 0.00 44.91

17-NOV-22 Joining Fee 0.00 499.00

17-NOV-22 CGST-CI@9% 0.00 44.91

For ICICI Bank Limited.

Sudipta Roy
Head – Consumer Cards

Important Messages
Safe Banking Tips - Do not transact if you find any suspicious device attached to the ATM. Do not take help
from strangers at an ATM.

ICICI Bank Credit Cards Goods and Services Tax Identification Number (GSTIN) is 27AAACI1195H3ZK

HSN Code for service: 9971 - Financial and related services

Our registered office address : ICICI Bank Tower, Bandra Kurla Complex, MUMBAI, Mumbai Suburban,
Maharashtra - 400051

Making only minimum payment every month can lead to repayment stretching over years with consequent
interest payment on outstanding balance

Please pay your credit card outstanding before the payment due date to avoid penal fees and interest
charges.

For payments made through cheque, we request you to make the payment atleast 3 working days before the
due date incase of an ICICI Bank cheque and 5 working days before the due date for Non-ICICI Bank cheques.

For any clarification or more information, you may contact us through the 'Get in Touch' option at
www.icicibank.com

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
* Mark-up fee and corresponding GST levied is included in the transaction amount displayed

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement