Page 1 of 2 M-76543125-1

346302/76543125-1/1-2/RESGS/09-26
Your Base Branch : ICICI BANK LIMITED
BRANCH, ICICI BANK LTD., SHOP NO.1 & 2,
YASHKUNJ SOCIETY, PRABHAT CHOWK,
MR.AKHIL S PILLAI GHATLODIYA, 380061
C/1/9,SIMANDHAR ENCLAVE NR,PAVAPURI,
JANTANAGAR ROAD,GHATLODIA
AHMEDABAD : Visit www.icicibank.com
GUJARAT - INDIA - 380061 Å Dial your Bank 1800 1080

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 : XXXXX4874 as on November 30, 2023

ACCOUNT DETAILS - INR

ACCOUNT TYPE ACCOUNT BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION

Savings A/c XXXXXXXX4284 30,695.03 0.00 30,695.03 Registered

TOTAL 30,695.03 0.00 30,695.03

Statement of Transactions in Savings Account XXXXXXXX4284 in INR for the period November 01, 2023 - November 30, 2023

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-11-2023 B/F 1,20,017.65

UPI/367196647351/Payment from Ph/9879744916@ybl/State
01-11-2023 1,500.00 1,21,517.65
Bank Of I/YBLa07a1e594a23475ab0dfef287291f03e
01-11-2023 ICICI DIRECT EBA/Allocate to ISec/20231101091217 1,500.00 1,20,017.65
01-11-2023 ICICI DIRECT EBA/Deallocate from ISec/20231101091305 15,000.00 1,35,017.65
UPI/330574611070/Payment from Ph/9879744916@ibl/State
01-11-2023 5,000.00 1,30,017.65
Bank Of I/IBL8e398b03be0943e8a35857ab6bf63491/
UPI/330500376025/Payment from Ph/9879744916@ibl/State
01-11-2023 5,000.00 1,25,017.65
Bank Of I/IBL555a9661a8c24a5b834ba6ec25e28f70/
02-11-2023 ICICI DIRECT EBA/Allocate to ISec/20231102091751 90,000.00 35,017.65
UPI/330606753224/Payment from Ph/9879744916@ibl/State
02-11-2023 5,000.00 30,017.65
Bank Of I/IBLf935959e1cce4aa6aaab69538465d470/
UPI/330662387134/Payment from Ph/9879744916@ibl/State
02-11-2023 5,000.00 25,017.65
Bank Of I/IBLf6200e2ae10a4d21afbc363033650197/
UPI/330713378486/Payment from Ph/9879744916@ibl/State
03-11-2023 5,000.00 20,017.65
Bank Of I/IBLf5ad6975ece74a8a8d7d619a30a22f37/
UPI/330820278220/Payment from Ph/9879744916@ibl/State
04-11-2023 15,000.00 5,017.65
Bank Of I/IBLdd12ac5f0b23464ca1100da04c940c51/
UPI/330864401957/Payment from Ph/9879744916@ibl/State
04-11-2023 500.00 4,517.65
Bank Of I/IBLa50d265d6254439797d04477092896f4/
NEFT-N309232721245260-UNIPATH SPECIALTY
06-11-2023 LABORATORY 25,446.00 29,963.65
LIMITE-PAIDAKHIL-57500000048932-HDFC0000240
06-11-2023 ACH/LTIMINDTREEINT2324/00000000000000247147 20.00 29,983.65
UPI/331034714541/Payment from Ph/9879744916@ibl/State
06-11-2023 600.00 29,383.65
Bank Of I/IBLd8aead6c0a274c1e906972cee2bf23b2/
07-11-2023 ICSP/SALARY OCT 2023 HAPPY DIWALI 51,150.00 80,533.65
UPI/331130896210/Payment from Ph/9879744916@ibl/State
07-11-2023 25,000.00 55,533.65
Bank Of I/IBLb7c5917f3e9e4b6ba5410d91c9852f1e/
UPI/367828781188/Payment from Ph/9879744916@ybl/State
08-11-2023 5,000.00 60,533.65
Bank Of I/YBL9f484778298c4733a97c56a0eb478aee
08-11-2023 ICSP/Bonus 8,107.00 68,640.65
09-11-2023 ACH/IRBINFRASTRUCTURE/00000000000003019831 25.00 68,665.65
UPI/331346985043/Payment from Ph/9879744916@ibl/State
09-11-2023 3,000.00 65,665.65
Bank Of I/IBLecf183349e7545718356acb7ca63e7c5/
UPI/331427548003/Payment from Ph/9879744916@ibl/State
10-11-2023 2,000.00 63,665.65
Bank Of I/IBL2f83e926cc074aaa817d8a93331c263a/
10-11-2023 ICICI DIRECT EBA/Allocate to ISec/20231110090848 7,500.00 56,165.65
10-11-2023 Personal Loan XX68029 EMI Akhi 14,719.00 41,446.65
UPI/331486252822/Payment from Ph/9879744916@ibl/State
10-11-2023 3,000.00 38,446.65
Bank Of I/IBL523db9205b1343af841c613008e7b43c/
UPI/368128785335/payment on CRED/credpay.eatsure/Axis
11-11-2023 216.00 38,230.65
Bank Ltd./ACDrmZdnPrwkrj4rlZe0REq/
UPI/331793780539/Payment from Ph/9879744916@ibl/State
13-11-2023 5,000.00 33,230.65
Bank Of I/IBLa6cedb7606244af8b15d048ff41c7593/
UPI/332033764082/Payment from Ph/9879744916@ibl/State
16-11-2023 5,000.00 28,230.65
Bank Of I/IBL86852f8e718a45d2a7f1ab9665c03a7b/
Total: 1,06,248.00 1,98,035.00 28,230.65
 Page 2 of 2 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX4284 in INR for the period November 01, 2023 - November 30, 2023

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/369092191503/Payment from Ph/9879744916@ibl/State
20-11-2023 2,000.00 30,230.65
Bank Of I/IBL65bb79a12bfd4ed385cecb8a56725ca2
22-11-2023 ICICI DIRECT EBA/Deallocate from ISec/20231122091809 8,000.00 38,230.65
23-11-2023 ICICI DIRECT EBA/Fund Trf Chrg/20231123043447 10.62 38,220.03
24-11-2023 CMS TRANSACTION CMS/ARCHEAN LTD/1st Interim Dividend Year 2023-202 20.00 38,240.03
UPI/369956846728/Payment from Ph/9879744916@ibl/State
29-11-2023 3,000.00 35,240.03
Bank Of I/IBL56c2d4f1592348fca0c390fba8673a58/
UPI/369903187994/Payment from Ph/9879744916@ibl/State
29-11-2023 2,000.00 33,240.03
Bank Of I/IBL4a191fcc157a494ba854a4c047f266e5/
UPI/370075284742/Payment from Ph/9879744916@ibl/State
30-11-2023 3,000.00 30,240.03
Bank Of I/IBL8a22e4b307e04783bc2f41e1125f5ad9/
30-11-2023 ACH/REC LIMITED/622441 350.00 30,590.03
30-11-2023 ACH/SUN TV NETWORK LTD/7019370 105.00 30,695.03
Total: 10,475.00 8,010.62 30,695.03

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*

Savings XXXXXXXX4284 380229053 ICIC0003463 -

* Nominee name is displayed only upon specific consent of the customer.

Sincerely, Legends for transactions in your Account Statement

Team ICICI Bank 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 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.
Card-blocking procedure for Savings Account:
Through iMobile Pay: iMobile Pay>Debit Card> Services> Cards Services> Block/Unblock Debit Card
Through Personal Banking:1800-1080 >IVR > Voice Assist> Say ‘Card Block’ or press ‘0’ in banking menu. > Enter details.
Through RIB: Service Request> Service List> Block Debit/ATM card option> Select the Card You want to Block> Submit.
Card-blocking procedure for Current Account:
Through InstaBIZ app > More > Services > Debit Card > Card Block / Unblock
Through Corporate Internet Banking > Service Requests > Debit/Inquiry Cards > Block Debit/Inquiry Card.
Account blocking procedure for Savings Account:
Through SMS: SMS ‘BLOCK’ <last three digits of account number> to 9215676766
W.e.f Jul 1, 2023, a monthly limit will be applicable on ATM Cash Withdrawals using Debit Cards. (Minimum limit of Rs 2 lakh up to a maximum of Rs 7.5 lakh, as per product type). For details,
please visit https://www.icicibank.com/notice-board.

l There is a revision in the service charge for domestic Savings Accounts w.e.f. Oct 01, 2022. For details, l Do not fall prey to fictitious offers about winning prizes, money circulation schemes, cheap funds, etc. through SMS,
please visit https://www.icicibank.com/notice-board.page e-mails and calls.
l There is a change in the Terms and Conditions for Salary Accounts. For details, visit l As per the prevailing guidelines of the Income Tax Act, 1961, if a valid PAN is not provided by the customer, then
www.icicibank.com/managed-assets/docs/terms-condition/tnc-savings-account.pdf (Clause XV). the Form 15G/15H shall not be treated as valid and tax shall be deducted at the prevailing rate or at 20%,
l Bank’s Code of Commitment to its Customers and Micro and Small Enterprises (MSE): Please visit whichever is higher. PAN can be updated online or at the nearest branch.
www.icicibank.com > ‘About Us’ > ‘Notice Board’ > ‘Code of Commitment’. The Code has been framed in l The address of the customer in Form 16A will be the last updated address in the data base of the income tax
line with the guidelines provided by Banking Codes and Standards Board of India (BCSBI). department.
l As per the guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be generated l PMJJBY Insurance: The insurance premium is collected on behalf of ICICI Prudential Life Insurance Company Limited
through the Income tax website for which the PAN of the customer needs to be necessarily updated in the plus administration charges are collected by ICICI Bank (including GST), in line with the existing laws. Effective Sep
Bank's record. 01, 2018, a premium is charged on a pro-rata basis for all new enrolments in the scheme. It is noteworthy that the
l Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation (DICGC) up to a renewal premium for all existing customers shall be charged for a period of one year (i.e. Rs 330) between May 25
and May 31, every year. For details on the premium structure, refer to the Terms & Conditions under the Pradhan
maximum of Rs. 5 lakh, for both principal and interest amount held by him/her in the same right and same
Mantri Social Security Schemes at www.icicibank.com .
capacity.
l Please refer to the notice on our website regarding the revisions in IMPS charges for certain Current Account
l Please refer to the notice on our website regarding Monthly/ Quarterly Average Balance waiver for Retail
variants.For details, visit
Current Account (Business Banking) customers who have opted for the EMI option. For details,visit https://
https://www.icicibank.com/content/dam/icicibank/india/managed-assets/docs/service-charges/corporate/current-a
www.icicibank.com/content/dam/icicibank/india/managed-assets/docs/service-charges/corporate/current-
ccounts/notice-for-revision-in-imps-charges-for-current-account-customers-1.pdf
accounts/mabqab-waiver-notice.pdf
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. SR224512319

Customers are requested to immediately notify the Bank in case of any error in the statement.