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629126/15400733-171115/1-2/RESGB/01-04
Your Base Branch : KAROL BAGH NEW DELHI BRANCH,
2692, DESHBANDHU GUPTA ROAD, KAROL BAGH,
110005
MR.VINEET KUMAR
SUNALI,SUNALI
UTTAR KASHI : Visit www.icicibank.com
UTTARAKHAND - INDIA - 249185 Å Dial your Bank 1860 120 7777

NEVER SHARE your Card number, CVV, PIN, OTP, Internet Banking User ID or Password with anyone, even if the person claims to be a
bank employee. Sharing these details can lead to unauthorised access to your account.

STATEMENT SUMMARY for Customer ID : XXXXX3277 as on December 31, 2019

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX0277 9,521.14 0.00 9,521.14 Not Registered

TOTAL 9,521.14 0.00 9,521.14

Statement of Transactions in Savings Account XXXXXXXX0277 in INR for the period December 01, 2019 - December 31, 2019

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-12-2019 B/F 17,503.37
04-12-2019 UPI/933814244019/UPI/mohitshingari22/Oriental Bank o/ 400.00 17,103.37
UPI/934120778876/Rewarded for pa/goog-payment@ok/Axis
07-12-2019 50.00 17,153.37
Bank Ltd.
11-12-2019 UPI/934522458353/UPI/goog-payment@ok/Axis Bank Ltd. 7.00 17,160.37
13-12-2019 NET BANKING INE/INE/S-ICIC-P1191-6579371/20191213050033/201912 1,500.00 15,660.37
16-12-2019 MOBILE BANKING MMT/IMPS/934818710012/NA/Bisht/PUNB0278000 10,000.00 5,660.37
16-12-2019 UPI/935009968985/UPI/goog-payment@ok/Axis Bank Ltd. 10.00 5,670.37
20-12-2019 MOBILE BANKING MMT/IMPS/935412548887/Family/Bisht/PUNB0278000 5,600.00 70.37
20-12-2019 MOBILE BANKING MMT/IMPS/935412548887/Family/Bisht/PUNB0278000 5,600.00 5,670.37
20-12-2019 MOBILE BANKING MMT/IMPS/935412549817/Family/Bisht/PUNB0278000 5,600.00 70.37
20-12-2019 MOBILE BANKING MMT/IMPS/935412549817/Family/Bisht/PUNB0278000 5,600.00 5,670.37
20-12-2019 MOBILE BANKING MMT/IMPS/935412551990/NA/Bisht/PUNB0278000 5,600.00 70.37
20-12-2019 MOBILE BANKING MMT/IMPS/935412551990/NA/Bisht/PUNB0278000 5,600.00 5,670.37
20-12-2019 MOBILE BANKING MMT/IMPS/935412561324/Family/Bisht/PUNB0278000 5,600.00 70.37
20-12-2019 MOBILE BANKING MMT/IMPS/935412561324/Family/Bisht/PUNB0278000 5,600.00 5,670.37
20-12-2019 MOBILE BANKING MMT/IMPS/935412563732/Family/Bisht/PUNB0278000 5,600.00 70.37
UPI/935611738406/Refund policy c/anupampundir-1@/Punjab
23-12-2019 7,700.00 7,770.37
National
23-12-2019 UPI/935617439091/UPI/billdesk.airtel/ICICI Bank 219.00 7,551.37
23-12-2019 UPI/935618265973/UPI/billdesk.airtel/ICICI Bank 49.00 7,502.37
23-12-2019 UPI/935618432728/UPI/billdesk.airtel/ICICI Bank 49.00 7,453.37
23-12-2019 UPI/935619109939/UPI/DUMMY NAME/Punjab National 2,453.00 5,000.37
26-12-2019 UPI/935919047607/UPI/redbus-payment@/HDFC BANK LTD 523.95 4,476.42
26-12-2019 UPI/936004282232/UPI/olacabs1@axisba/Axis Bank Ltd./ 242.00 4,234.42
UPI/936004660141/Rewarded for pa/goog-payment@ok/Axis
26-12-2019 50.00 4,284.42
Bank Ltd.
26-12-2019 UPI/936005712371/UPI/goog-payment@ok/Axis Bank Ltd. 8.00 4,292.42
26-12-2019 UPI/936017442667/UPI/olacabs1@axisba/Axis Bank Ltd./ 132.00 4,160.42
27-12-2019 UPI/936120245472/UPI/q03177841@ybl/United Bank of 50.00 4,110.42
27-12-2019 UPI/RVSL936120245472/UPI/q03177841@ybl/United Bank of 50.00 4,160.42
30-12-2019 UPI/936212275733/UPI/q35772941@ybl/Punjab National 16.00 4,144.42
30-12-2019 UPI/936212285380/UPI/DUMMY NAME/Punjab National 1,000.00 3,144.42
30-12-2019 UPI/936301197700/Payment/cashfreeclubfac/Yes BankLtd/ 604.28 2,540.14
30-12-2019 UPI/936313101059/UPI/DUMMY NAME/Punjab National 1,500.00 1,040.14
30-12-2019 UPI/936416466134/UPI/DUMMY NAME/Punjab National 1,000.00 40.14
31-12-2019 629101520277:Int.Pd:30-09-2019 to 30-12-2019 53.00 93.14
31-12-2019 UPI/936511117536/UPI/DUMMY NAME/Punjab National 93.00 0.14
31-12-2019 UPI/936517145668/UPI/vickey6557@okic/Punjab National 50.00 50.14
Total: 30,378.00 47,831.23 50.14
 Page 2 of 2 M-15400733-171115

Statement of Transactions in Savings Account XXXXXXXX0277 in INR for the period December 01, 2019 - December 31, 2019

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

31-12-2019 UPI/936517928406/UPI/chauhan.piyush0/Punjab National 400.00 450.14
31-12-2019 ICSP/SALARY DEC2019 27,631.00 28,081.14
31-12-2019 UPI/936518177216/UPI/DUMMY NAME/State Bank Of I 5,000.00 23,081.14
31-12-2019 UPI/936518180184/UPI/DUMMY NAME/State Bank Of I 5,000.00 18,081.14
31-12-2019 UPI/936518183823/UPI/DUMMY NAME/State Bank Of I 5,000.00 13,081.14
31-12-2019 UPI/936518372424/UPI/DUMMY NAME/State Bank Of I 1,000.00 12,081.14
31-12-2019 UPI/936520365007/UPI/DUMMY NAME/State Bank Of I 2,000.00 10,081.14
31-12-2019 UPI/936523172880/UPI/kbgarments.4014/HDFC BANK LTD 460.00 9,621.14
31-12-2019 UPI/936523181272/UPI/15458698.mab@ye/Yes Bank Ltd 100.00 9,521.14
Total: 28,031.00 18,560.00 9,521.14

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of November, 2019
POINTS BALANCE*
NUMBER NUMBER My Savings REWARD DEBIT CARD
XXXXXXXX0277 XXXXXXXXXXXX1709 0 1 23
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on December 20, 2019, includes points earned through other PAYBACK partners
Points earned for the month will reflect with a lag of upto 50 days in the point balance.

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings XXXXXXXX0277 110229015 ICIC0006291 -

* Nominee name is displayed only on specific consent of customer.

Sincerely, Legends for transactions in your account statement

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
ICICI Bank Limited 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.

l Do not fall prey to fictitious offers of winning prizes, money circulation schemes and cheap l There is a revision in the terms & conditions of your complimentary air accident insurance,
funds, etc. through SMS, e-mails and calls. personal accident insurance & purchase protection. It is linked to your bank account. For details,
l With effect from Dec 15, 2019, there is a revision in limits of Cash Transactions and please visit www.icicibank.com .
associated charges. For details, please visit www.icicibank.com/notice-board.page l As per prevailing guidelines of the Income tax Act, 1961, if a valid PAN is not provided by the
l Bank’s Code of Commitment to Customers and Micro and Small Enterprises (MSE): Please customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
visit www.icicibank.com > About Us > Notice Board > Code of Commitment. The code l In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
has been framed in line with the guidelines provided by Banking Codes and Standards l In case your PAN is not updated in our record, please visit the nearest branch and provide a
Board of India (BCSBI). copy of the PAN card, along with the original PAN card for verification.
l As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be l The address of the customer in Form 16A will be the last updated address in the data base of the
generated through the Income tax website for which the PAN of the customer needs to be income tax department.
necessarily updated in Bank's record.
l As per PMJJY, debit of Rs 289 is towards insurance premium collected on behalf of ICICI
l Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation Prudential & Rs 41 is towards administration charges by ICICI Bank (including Goods and
(DICGC) up to a maximum of Rs. 1 lakh, for both principal and interest amount held by him Services Tax (GST)). For details, refer Terms and Conditions at www.icicibank.com
in the same right and same capacity.
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.
Customers are requested to immediately notify the bank in case of any discrepancy in the statement. ROG_SR168104445_DB_SS_30042021