Page 1 of 2 M-43673640-51041

136501/43673640-51041/1-2/RESGB/07-03
Your Base Branch : CHINCHINIM BRANCH, H
NO. 296/1- SECREA VADDO 403715
MR.RAHUL MOLLA
H NO,489 SARZORA ROAD,DANDEAVADDO OPP,
CORPORATION ,BANK CHINCHINIM
: Visit www.icicibank.com

SALCETE Å Dial your Bank 1800 1080

GOA - INDIA - 403715

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 : XXXXX6016 as on June 30, 2024

ACCOUNT DETAILS - INR

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

Savings A/c XXXXXXXX3464 839.00 0.00 839.00 Registered

TOTAL 839.00 0.00 839.00

Statement of Transactions in Savings Account XXXXXXXX3464 in INR for the period June 01, 2024 - June 30, 2024

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-06-2024 B/F 91.30

UPI/452268176396/UPI/piyushelectrica/HDFC BANK
04-06-2024 30.00 61.30
LTD/ICI743e018eda18484b81b47b8d468d2dad/
UPI/452217899589/UPI/piyushelectrica/HDFC BANK
04-06-2024 20.00 41.30
LTD/ICI1bc774c4505540c7ab2bdcb8ef693b04/
UPI/415726128346/cash to online/lc96363@okicici/UCO
05-06-2024 1,000.00 1,041.30
Bank/ICI91d981bb45c54da7b9166d31148f96d7
UPI/415764227651/UPI/mollasakil577@o/Indian
05-06-2024 600.00 441.30
Overseas/ICI4e24202bcbdf4499a15f7d6afbe4fd08/
UPI/415771323413/UPI/ignatiusleitao-/Kotak Mahindra
05-06-2024 1,650.00 2,091.30
/HDF776ac924573549ca95a0ce608e802697
UPI/452514257362/UPI/mollqmoimur@oka/Indian
07-06-2024 11,000.00 13,091.30
Overseas/AXI5cb6a51e46eb4110ac2adc07d2999bea
UPI/415927141024/UPI/mobassirakhatun/Bandhan
07-06-2024 10,000.00 3,091.30
Bank/ICI1187b53edf0046e1a4d0f88284e2e0e3/
UPI/415922069747/UPI/mmorsalin929-2@/Bank of
07-06-2024 100.00 3,191.30
India/AXI917dc47a636342218a71742dc8a4413c
UPI/452527439984/UPI/googlebbpsutili/ICICI
07-06-2024 3,146.00 45.30
Bank/ICI9a0396daa2b846739564d44b8dd47507/
UPI/416010084451/UPI/gpayrecharge@ic/ICICI
08-06-2024 39.00 6.30
Bank/ICI005da214813741fab3e647b4b65fe9e7/
11-06-2024 SMSChgsJan24-Mar24+GST 6.30 0.00
UPI/453001975466/cash to online/lc96363@okicici/UCO
12-06-2024 1,000.00 1,000.00
Bank/ICIa6bd4e5e81ec40d6a77d8974e3c1da00
UPI/416459888663/UPI/9423317276@okbi/Axis Bank
12-06-2024 20.00 980.00
Ltd./ICI607a12237e1a4238b6ad2aa1f52d3aa2/
UPI/416613041988/UPI/sameerkakar05-2/State Bank Of
14-06-2024 7,500.00 8,480.00
I/AXIfa0ccc2e3f5348429656d32995b7e1a1
UPI/453216006538/UPI/mobaraksarkar81/State Bank Of
14-06-2024 7,000.00 1,480.00
I/ICIbfa2d78708e3449da1fc900e258ae0d9/
UPI/416847701557/UPI/mollasakil577@o/Indian
16-06-2024 100.00 1,380.00
Overseas/ICI88dad143ff924a5f894bde7c895d14e7/
UPI/417027685275/UPI/kritamoraes2712/HDFC BANK
18-06-2024 2,000.00 3,380.00
LTD/HDFd79ffad315024d62b1b9be7a838eea3b
19-06-2024 ACH/WBSC627/130958718GoWBKbK24218245157266 2,000.00 5,380.00
UPI/417372224072/UPI/piyushelectrica/HDFC BANK
21-06-2024 10.00 5,370.00
LTD/ICI224a17f249014acf865d1547d9cdc188/
22-06-2024 ACH/LIC OF INDIA/ICIC0000000015741330/9307327200624 2,041.00 3,329.00
UPI/417436449180/UPI/vyapar.16906590/HDFC BANK
22-06-2024 20.00 3,309.00
LTD/ICIead3090626034ffaaa8d400cd3bf4727/
UPI/454040155758/UPI/gpay-1120630726/Axis Bank
22-06-2024 10.00 3,299.00
Ltd./ICI6af9b1fbfc8c4553bd5082c860222315/
UPI/454005270292/UPI/q725485941@ybl/Yes Bank
22-06-2024 225.00 3,074.00
Ltd/ICI576514b51e5748109e089ce8cf47802e/
UPI/417585915932/UPI/juyelsarkar187-/INDUSIND
23-06-2024 2,000.00 1,074.00
BANK/ICI62d2d901e9914e3cb58550557afb7d2e/
UPI/454345501291/UPI/9731477580@axl/Yes Bank
25-06-2024 5.00 1,069.00
Ltd/ICI3761af7517a043c5949a0360e21380b2/
UPI/454663546689/UPI/paytm.s11ggoc@p/YES BANK
28-06-2024 26.00 1,043.00
PTY/ICIe7f6897c6f0249cc9018cd54019bf602/
Total: 26,250.00 25,298.30 1,043.00
 Page 2 of 2 M-43673640-51041

Statement of Transactions in Savings Account XXXXXXXX3464 in INR for the period June 01, 2024 - June 30, 2024

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/454799603676/UPI/gpay-1124059455/Axis Bank
29-06-2024 33.00 1,010.00
Ltd./ICIaf77c6ddb78949f7aaf7f3079767e6f2/
30-06-2024 136501503464:Int.Pd:30-03-2024 to 29-06-2024 56.00 1,066.00
UPI/418237240218/UPI/q277658619@ybl/Yes Bank
30-06-2024 12.00 1,054.00
Ltd/ICIa7680e384b6846bba360f8bcd27b921a/
UPI/454836053973/UPI/shridamdebnath9/Punjab
30-06-2024 200.00 854.00
National/ICI7a5bdb12f4274f4891f9d93e3eb1fa9d/
UPI/454896258981/UPI/gpayrecharge@ok/Axis Bank
30-06-2024 15.00 839.00
Ltd./ICIf0274432358d4f27bb866686a7d9c94a/
Total: 56.00 260.00 839.00

Account Related Other Information

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

Savings XXXXXXXX3464 403229007 ICIC0001365 -

* Nominee name 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 fund 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: Log in to 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 the 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: Log in to InstaBIZ > More > Services > Debit Card > Card Block / Unblock
Through Corporate Internet Banking > Service Request > Debit Card/Inquiry > Block Debit Card/Inquiry.
Account blocking procedure for Savings Account:
Through SMS: SMS ‘BLOCK’ <last three digits of your 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. May 01, 2024. 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 valid PAN is not provided by the customer, then the
www.icicibank.com/managed-assets/docs/terms-condition/tnc-savings-account.pdf (Clause XV). Form 15G/15H will not be treated as valid and tax will be deducted at the prevailing rate or at 20%, whichever is
higher. PAN can be updated online or at the nearest ICICI Bank Branch .
l Bank’s Code of Commitment to its Customers and Micro and Small Enterprises (MSE): Please visit
www.icicibank.com > ‘About Us’ > ‘Notice Board’ > ‘Code of Commitment’. The Code has been framed as l The address of the customer in Form 16A will be the last updated address in the database of the income tax
per 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), as per the existing laws. Effective Sep 01,
Bank's record. 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 will be charged for a period of one year (i.e. Rs 330) between May 25
l The depositor is insured by the Deposit Insurance and Credit Guarantee Corporation (DICGC) up to a
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
Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex, Mumbai - 400051, India. www.icicibank.com
Registered Office: ICICI Bank Tower, Near Chakli Circle, Old Padra Road, Vadodara, Gujarat. Pin – 390 007. Category of service: Banking & Financial Services.
Registration No. MIV/ST/Bank & Finc/4.
This is an authenticated intimation/statement. SR244554715
CIN : L65190GJ1994PLC021012
Customers are requested to immediately notify the Bank in case of any error(s) in the statement.