PRIVATE & CONFIDENTIAL

Page 1 of 6


e#d*Mk

Customer No.: 22322958

CS08CC01010000002B2041

ABHIJEET AJAY PATIL IFSC Code: DBSS0IN0811

SHAM NAGAR LATUR MICR Code: 400641002
BEHIND THE JATAL HOSPITAL
LATUR-413512 Branch Address:
DBS Bank India Limited
i$4$$d

MAHARASHTRA, INDIA
GROUND FLOOR,
EXPRESS TOWERS, NARIMAN POINT,
MUMBAI-400021
MAHARASHTRA, INDIA
Tel: +91-22-66388888

Dear Customer,

We are proud to announce that your favorite bank – DBS Bank, has now been voted as the “Safest bank in Asia” by Global Finance, for 11
consecutive years (2009 – 2019). In addition, DBS has also been recognized as the “Best Bank in the World” by Euromoney (2019), Global
Finance (2018) and The Banker (2018).

As we seek to become a better bank for a better world, we remain committed to digitally transform and reimagine banking to help you live
more, bank less.

For safety of your bank accounts you are being reminded to exercise utmost secrecy for Passwords / PINs / Specimen Signatures at all times.

Wholly Yours,

Team DBS

Save with the Safest, Bank with the Best

Summary of Account Statement Period 01-Feb-2021 to 28-Feb-2021

Account Type Account No. Currency Account Balance Status Nomination Registered

SAVINGS 881022580634 INR 20.16 ACTIVE YES

*** End of Summary ***

PRIVATE & CONFIDENTIAL

Page 2 of 6

Important Abbreviations

ATD Withdrawal at Non-DBS ATM ATW Withdrawal at DBS ATM PCD Purchased

IB TRF Internet banking transfer MB TRF Mobile banking transfer AC TRF Account transfer

POS Point of Sales TD Term Deposit UPI Unified Payment Interface

IMPS Immediate payment service RTN Return INW Inward

OW Outward

Taxes as per applicable guidelines

Please update your GSTIN details at the link: https://go.dbs.com/GST

Closing balance includes funds earmarked for hold and uncleared funds.
This is a computer generated electronic statement and no signature is required. Please check this statement of account carefully. Unless we receive notification of any discrepancy or
inaccuracy with respect to the entries of this statement within 14 days from receipt of this statement, it shall be conclusive and binding on you. If you need any additional details or
clarifications related to transactions or any other information not otherwise visible in the statement, please login to digibank.

Please note in 2010, the United States enacted tax rules, commonly referred to as Foreign Account Tax Compliance Act (FATCA), which targets non-compliance of US tax laws by US
persons using overseas accounts. FATCA has come into force on 01Jul2014. Non-US financial institutions (including DBS Bank India Limited) are to identify and report on these persons
under the provisions of applicable US tax law, including FATCA.

Kindly note that under RBI notification 2019-2020/1878, dated 4 February 2020, the Deposit Insurance and Credit Guarantee Corporation (DICGC) has increased the insurance
coverage for depositors in all insured banks from Rs. 1 lakh to Rs. 5 lakh, with a view to provide a greater measure of protection to depositors.
__________________________________________________________________________________________________________________________________________________________________________________________________
Effective 1st July ’20 there will be a change in TDS, applicable for cash withdrawals. For details on the provisions, please refer email sent or visit our website
https://www.dbs.com/digibank/in/campaigns/TDS-on-cash-withdrawals.html
__________________________________________________________________________________________________________________________________________________________________________________________________
GST related information:

GSTIN for DBS Bank India Ltd. : 27AAGCD5838A1ZT

GSTIN of Service Recipient:

All digibank services are provided in state of Maharashtra: GST state code – 27

For place of supply, refer account holder’s address mentioned above and for corresponding state code refer code below :
Jammu And Kashmir - 1; Himachal Pradesh - 2; Punjab - 3; Chandigarh - 4; Uttarakhand - 5; Haryana - 6; Delhi - 7; Rajasthan - 8; Uttar Pradesh - 9; Bihar - 10; Sikkim - 11; Arunachal
Pradesh - 12; Nagaland - 13; Manipur - 14; Mizoram - 15; Tripura - 16; Meghalaya - 17; Assam - 18; West Bengal - 19; Jharkhand - 20; Odisha - 21; Chhattisgarh - 22; Madhya Pradesh -
23; Gujarat - 24; Dadra And Nagar Haveli And Daman And Diu* - 26; Maharashtra - 27; Andhra Pradesh (before division) - 28; Karnataka - 29; Goa - 30; Lakshadweep - 31; Kerala - 32;
Tamil Nadu - 33; Puducherry - 34; Andaman And Nicobar Islands - 35; Telangana - 36; Andhra Pradesh - 37; Ladakh – 38

* The State code for erstwhile UT of Daman and Diu was 25, prior to 26th January 2020.

SAC / HSN code – 9971; Service description – Financial and related services

Tax Payable on Reverse Charge Basis: NO

PRIVATE & CONFIDENTIAL

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Account Name: ABHIJEET AJAY PATIL

Account No.: 881022580634 Account Type: DIGISAVINGS
Statement Period: 01-Feb-2021 To 28-Feb-2021 Currency: INR

Transaction Date Value Date Details of transaction Debit Credit Balance

Opening Balance 0.55

01-Feb-2021 01-Feb-2021 NEFTIN CMS1794752032 ANGEL BROKING 34.87 35.42

PVT LTD -ICICI BANK LIMITED
ICIC0000104
01-Feb-2021 01-Feb-2021 UPI~103237725776~BHARATPE.9100130532 35.00 0.42
@icici~Bharatp
-YBLceea9123b0b341f0ace61772150
05-Feb-2021 05-Feb-2021 NEFTIN CMS1799677364 ANGEL BROKING 64.00 64.42
PVT LTD -ICICI BANK LIMITED
ICIC0000104
05-Feb-2021 05-Feb-2021 UPI~103659445356~BHARATPE.910013053 45.00 19.42
2@icici~Bharatp
-YBL09d429655571435f959f00ff499
05-Feb-2021 05-Feb-2021 UPI~103653449691~9049805021@ybl~RAT 1,900.00 1,919.42
NDIP SUNIL GAIK
-KKBK~YBL31a826a7596742c18ddf98
05-Feb-2021 05-Feb-2021 UPI~103618987655~BHARATPE.9100130532 10.00 1,909.42
@icici~Bharatp
-YBL9d208134742941b694ae9209312
05-Feb-2021 05-Feb-2021 UPI~103615760275~9422071457@okbizaxis~ 147.00 1,762.42
Hotel Samudr
-YBL5e0afc3a1a004bb5a76d939bbbe
05-Feb-2021 05-Feb-2021 UPI~103620915311~Q83550983@ybl~A U 49.63 1,712.79
CHOUNDE PETROLE
-YBL9d9fa49bb6124e9dbecadcd4f73
05-Feb-2021 05-Feb-2021 UPI~103651014084~BHARATPE.9100130532 40.00 1,672.79
@icici~Bharatp
-YBLfe6b66c3559647f9819f012c395
05-Feb-2021 05-Feb-2021 UPI~103658683331~BHARATPE0989249154 160.00 1,512.79
7@yesbankltd~R
-YBLeccee294db874870803f0309539
05-Feb-2021 05-Feb-2021 UPI~103690410646~9112042854@ybl~KIRA 500.00 1,012.79
N PARMESHWAR S
-YBL4daab5d19fbe4e458502de8c111
06-Feb-2021 05-Feb-2021 UPI~103618625812~BHARATPE.9052457153 60.00 952.79
@fbpe~MUGALE S
-YBLb3e165fee002483fb1a049314f8
06-Feb-2021 05-Feb-2021 UPI~103662982352~Q07391116@ybl~JAVED 70.00 882.79
ABDUL HAMID S
-YBL0407a554960440799b30dedd8d6
06-Feb-2021 06-Feb-2021 UPI~103762119602~BHARATPE.9100130532 25.00 857.79
@icici~Bharatp
-YBL49d5cdc440a1440c98dbd9d0ed5
06-Feb-2021 06-Feb-2021 UPI~103765127173~BHARATPE.9100130532 23.00 834.79
@icici~Bharatp
-YBLfb13f181dd804ea498a10e91c0b
06-Feb-2021 06-Feb-2021 UPI~103757999000~BHARATPE.910013053 60.00 774.79
2@icici~Bharatp
-YBL522bd037b92d4eb6a829c53b1a4
06-Feb-2021 06-Feb-2021 UPI~103709842231~BHARATPE.9100130532 55.00 719.79
@icici~Bharatp
-YBLc2a0beb5b5c348edad1c9bc663e
06-Feb-2021 06-Feb-2021 UPI~103727743812~8378834054@ybl~SOME 27.00 692.79
SHWAR TUKARAM
-YBL29fec7e0fddf49058ce61fcdca3
07-Feb-2021 06-Feb-2021 UPI~103747894726~BHARATPE910000997 18.00 674.79
03@yesbankltd~BA
-YBL2a4044bcc73e400b92d044092e2
PRIVATE & CONFIDENTIAL

Page 4 of 6

Transaction Date Value Date Details of transaction Debit Credit Balance

07-Feb-2021 06-Feb-2021 UPI~103756051908~Q74753643@ybl~KAYA 49.63 625.16

KHANI PETROLEUM
-YBL2c4d3c1cc6224e528f587cba164
07-Feb-2021 07-Feb-2021 UPI~103849729891~BHARATPE.9100130532 40.00 585.16
@icici~Bharatp
-YBLa7220ca3a1d44a33860954a9b5d
07-Feb-2021 07-Feb-2021 UPI~103884857617~BHARATPE.9100130532 35.00 550.16
@icici~Bharatp
-YBLc1a0f174722c4bf7b4a50473d93
07-Feb-2021 07-Feb-2021 UPI~103879845338~9545914198@ybl~SHIV 1.00 551.16
AJI DAMODHAR S
-ICIC~YBLd3b032323b734b7089d1ec
07-Feb-2021 07-Feb-2021 UPI~103846768050~9545914198@ybl~SHIV 999.00 1,550.16
AJI DAMODHAR S
-ICIC~YBL5049a716726b4b088b0ffd
07-Feb-2021 07-Feb-2021 UPI~103841556290~BHARATPE.9100130532 41.00 1,509.16
@icici~Bharatp
-YBL2f640da022e640adb697eeaa059
07-Feb-2021 07-Feb-2021 UPI~103800626284~BHARATPE.910013053 30.00 1,479.16
2@icici~Bharatp
-YBL3ce1e7b655504b24a31b984b987
07-Feb-2021 07-Feb-2021 UPI~103838472304~BHARATPE.9051162947 100.00 1,379.16
@fbpe~KRISHNA
-YBL60e7b5dd8f3c4cbbae90a6a4953
07-Feb-2021 07-Feb-2021 UPI~103873778977~BHARATPE.9100130532 10.00 1,369.16
@icici~Bharatp
-YBL876e20938eeb413e8e1e87ebad7
07-Feb-2021 07-Feb-2021 UPI~103841219085~BHARATPE.904062363 15.00 1,354.16
3@icici~Bharatp
-YBL67dc7c7956b941d2a4691ce6bb0
08-Feb-2021 07-Feb-2021 UPI~103805979088~BHARATPE.910013053 15.00 1,339.16
2@icici~Bharatp
-YBL38ce31e6bbab43d7b0387cefb32
08-Feb-2021 07-Feb-2021 UPI~103828729304~9096164804@ybl~ 20.00 1,319.16
-YBL80eecb62584e43719829f1fd3d8

08-Feb-2021 08-Feb-2021 UPI~103992830976~BHARATPE.910013053 10.00 1,309.16

2@icici~Bharatp
-YBL14ce4fa93138488381e66ab2da3
08-Feb-2021 08-Feb-2021 UPI~103910846331~Q69478341@ybl~PARME 20.00 1,289.16
SHWAR ARVIND K
-YBL4a46aa13e5724bd39955d69e7ea
08-Feb-2021 08-Feb-2021 UPI~103948947013~BHARATPE910000997 45.00 1,244.16
03@yesbankltd~BA
-YBLcc2dd22657d24e3d9d7abb755fa
08-Feb-2021 08-Feb-2021 UPI~103950885894~BHARATPE.910013053 10.00 1,234.16
2@icici~Bharatp
-YBL3d80016055f44de988db5df4aca
08-Feb-2021 08-Feb-2021 UPI~103936678863~BHARATPE910000997 15.00 1,219.16
03@yesbankltd~BA
-YBLeac5479ef5a248f38d6584e307b
08-Feb-2021 08-Feb-2021 UPI~103922616372~BHARATPE.9100130532 20.00 1,199.16
@icici~Bharatp
-YBL95420224586d4edebc939491304
08-Feb-2021 08-Feb-2021 UPI~103918717807~vijaykumarnpatil@okicici 150.00 1,049.16
~VIJAYKUM
-SBId26e027f8a064b399c650f66205
08-Feb-2021 08-Feb-2021 UPI~103973020470~BHARATPE.910013053 30.00 1,019.16
2@icici~Bharatp
-YBLcaf15e809173423c973def86f57
09-Feb-2021 09-Feb-2021 UPI~104020272012~Q10411924@ybl~Mr 35.00 984.16
RAVI ASHOK BANDG
-YBLaa03a751532447e4a742ce354f7
09-Feb-2021 09-Feb-2021 UPI~104002341958~9403542158@ybl~KUNT 336.00 648.16
EGORAKHNATHKAS
-YBL2517ff27dc1e445a89e0e50e283
10-Feb-2021 10-Feb-2021 UPI~104134852145~Q74753643@ybl~KAYA 100.00 548.16
KHANI PETROLEUM
-YBLf17bdb405d6849c1bc2af15eee0
PRIVATE & CONFIDENTIAL

Page 5 of 6

Transaction Date Value Date Details of transaction Debit Credit Balance

12-Feb-2021 12-Feb-2021 UPI~104301133879~BHARATPE.9100130532 31.00 517.16

@icici~Bharatp
-YBL67d9661b916b4bebac5f5435561
12-Feb-2021 12-Feb-2021 UPI~104374760716~BHARATPE.9100130532 31.00 486.16
@icici~Bharatp
-YBL648c65dbc65344ca8b9542e89f4
12-Feb-2021 12-Feb-2021 UPI~104340295422~BHARATPE.910013053 41.00 445.16
2@icici~Bharatp
-YBL91be8c126e1248a7901164616cc
12-Feb-2021 12-Feb-2021 UPI~104311670893~BHARATPE.9040243811 50.00 395.16
@icici~Bharatp
-YBL07a31c3ad7814468a239ee1636a
12-Feb-2021 12-Feb-2021 UPI~104369794040~Q36147622@ybl~ 20.00 375.16
-YBL0e768c48e0aa4c70b0d38507356

13-Feb-2021 12-Feb-2021 UPI~104349904159~BHARATPE.9100130532 35.00 340.16

@icici~Bharatp
-YBLfb9b370ee6a94eda81bb1796364
13-Feb-2021 12-Feb-2021 UPI~104348746886~8788001133@ybl~TAUF 30.00 310.16
IQ SALIM SAYYA
-YBLc901714e69974c65ac15a61e7e2
13-Feb-2021 13-Feb-2021 UPI~104413673588~BHARATPE.9040243811 300.00 10.16
@icici~Bharatp
-YBL05482919170648378acb44635b0
14-Feb-2021 14-Feb-2021 UPI~104566832897~BHARATPE.9100130532 10.00 0.16
@icici~Bharatp
-YBLceeb7dada6904a9181a559b53a7
14-Feb-2021 14-Feb-2021 UPI~104509431379~9545914198@ybl~SHIVA 100.00 100.16
JI DAMODHAR S
-ICIC~YBLa776eb518109419785278b
14-Feb-2021 14-Feb-2021 UPI~104514654808~BHARATPE.9100130532 30.00 70.16
@icici~Bharatp
-YBLb0495745c32a419a9a63dcea484
15-Feb-2021 14-Feb-2021 UPI~104527528014~BHARATPE.904062363 15.00 55.16
3@icici~Bharatp
-YBL3565b4cc4cc44ad4a7918e97c17
15-Feb-2021 14-Feb-2021 UPI~104517218118~BHARATPE.9100130532@ 10.00 45.16
icici~Bharatp
-YBL2abdeb892a3c4862b03be42737c
15-Feb-2021 15-Feb-2021 UPI~104676746697~BHARATPE910000997 15.00 30.16
03@yesbankltd~BA
-YBLdf37ce36c427491c8ffbd50e694
15-Feb-2021 15-Feb-2021 UPI~104687402038~BHARATPE.910013053 16.00 14.16
2@icici~Bharatp
-YBLbacb18fdc9f04df19518176410d
15-Feb-2021 15-Feb-2021 UPI~104634285944~BHARATPE.910013053 14.00 0.16
2@icici~Bharatp
-YBLfeedd390f3dc499aaefb54f5288
25-Feb-2021 24-Feb-2021 UPI~105561338551~9049805021@ybl~RATN 1,000.00 1,000.16
DIP SUNIL GAIK
-KKBK~YBL978e5ab880f6496c8616ec
25-Feb-2021 24-Feb-2021 UPI~105527763606~BHARATPE.9100130532 26.00 974.16
@icici~Bharatp
-YBL88db6fb77da447c6b54c3571498
25-Feb-2021 25-Feb-2021 UPI~105683796318~Q61000939@ybl~RAME 30.00 944.16
SH ANANTRAO GAM
-YBL7af914592fc64972861eea024df
25-Feb-2021 25-Feb-2021 Purchase-105609062131-250221 549.00 395.16
15:22:19-4164 D MART
-463237XXXXXX2931-974651
25-Feb-2021 25-Feb-2021 UPI~105612966581~BHARATPE.9100130532 20.00 375.16
@icici~Bharatp
-YBL03a122bb3b00412c9ef8a81dbdc
25-Feb-2021 25-Feb-2021 UPI~105686224776~BHARATPE098950708 10.00 365.16
89@yesbankltd~Bh
-YBLbb8771da65ed41caa08e4b7a38b
25-Feb-2021 25-Feb-2021 UPI~105689313898~BHARATPE.9100130532 20.00 345.16
@icici~Bharatp
-YBL53aa2d646fba4a05b8aacd64c82
PRIVATE & CONFIDENTIAL

Page 6 of 6

Transaction Date Value Date Details of transaction Debit Credit Balance

25-Feb-2021 25-Feb-2021 UPI~105612711530~BHARATPE.9100130532 20.00 325.16

@icici~Bharatp
-YBL56ceb40adaac47c8a06aa119328
25-Feb-2021 25-Feb-2021 UPI~105620690661~bharatpe.9100130532@i 20.00 305.16
cici~Bharatp
-SBIb8fed6d840624060b23d27365c2
25-Feb-2021 25-Feb-2021 UPI~105620540648~goog-payment@okaxis 9.00 314.16
~GOOGLEPAY
-UTIB~AXI88028377891945c68e89f9
26-Feb-2021 26-Feb-2021 UPI~105722695453~BHARATPE.9100130532 20.00 294.16
@icici~Bharatp
-YBLce73749481ef487baa8d3563c94
26-Feb-2021 26-Feb-2021 UPI~105737475255~BHARATPE098950708 294.00 0.16
89@yesbankltd~Bh
-YBLa8db8931607346ee8e79e3a1282
26-Feb-2021 26-Feb-2021 RVSL UPI 250221 105612711530 -UPICA 20.00 20.16

Closing Balance 20.16

*** End of Statement ***