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057308/9411921/1-3/RESGB/10-0
Your Base Branch : CHENNAI-MAHINDRA
CITY-INFOSYS BRANCH, MAHINDRA INDUSTRIAL
PARK,PARANUR VILLAGE NATHAM SUB-POST OFFICE,
MS.V PADMAVATHY CHENGLEPE 603002
15,A10 SIVASAKTHI FLATE,2ND FLOOR FLR,
KP KOVIL,EAST STREET,MYLAPORE, : Visit www.icicibank.com
CHENNAI MYLAPORE
CHENNAI Å Dial your Bank 1860 120 7777
TAMIL NADU - INDIA - 600004

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 : XXXXX5245 as on September 30, 2019

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX4171 39,222.65 0.00 39,222.65 Not Registered

TOTAL 39,222.65 0.00 39,222.65

Statement of Transactions in Savings Account XXXXXXXX4171 in INR for the period September 01, 2019 - September 30, 2019

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-09-2019 B/F 32,211.00
02-09-2019 DEBIT CARD IPS/HEALTH GL/201909011914/000000010456/chennai 743.00 31,468.00
03-09-2019 UPI/924609479688/UPI/sowjanyareddy61/Indian Bank 45.00 31,513.00
04-09-2019 ICICI ATM ATM/S1CWI308/CASH WDL/04-09-19 7,500.00 24,013.00
04-09-2019 NET BANKING BIL/001791586978/ICICI BANK CREDIT CA/437551936066 210.00 23,803.00
04-09-2019 UPI/924709980180/UPI/sowjanyareddy61/Indian Bank 486.00 24,289.00
05-09-2019 UPI/924813054101/Eb/DUMMY NAME/Yes Bank Ltd 100.00 24,189.00
05-09-2019 UPI/924813077145/Eb/sowjanyareddy61/Indian Bank 100.00 24,089.00
05-09-2019 UPI/924821375824/UPI/mythreyereddy@o/ICICI Bank 542.00 24,631.00
07-09-2019 NET BANKING MIN/WWW SPICINE/201909071934/864006/ 182.55 24,448.45
07-09-2019 UPI/925019970513/Movie/DUMMY NAME/Yes Bank Ltd 213.00 24,235.45
09-09-2019 UPI/925113447780/UPI/imrsnkhan30@oks/State Bank Of 100.00 24,135.45
I/
09-09-2019 UPI/925113511056/UPI/imrsnkhan30@oks/State Bank Of 5,500.00 18,635.45
I/
09-09-2019 UPI/925120963257/UPI/ilak97@okaxis/Karur Vysya Ban 200.00 18,835.45
09-09-2019 UPI/925222287179/UPI/billdesk.tneb@i/ICICI Bank 500.00 18,335.45
10-09-2019 UPI/925313320417/Kumbhabishegam/DUMMY NAME/Indian 1,000.00 17,335.45
Bank/
10-09-2019 UPI/925313306458/UPI/goog-payment@ok/Axis Bank Ltd 5.00 17,340.45
.
10-09-2019 DEBIT CARD MPS/CAFE COFFEE/201909101732/502878/INFOSYS C 184.00 17,156.45
12-09-2019 UPI/925507974423/Cake/keerthyvijayaku/Indian Overs 50.00 17,106.45
eas/
12-09-2019 DEBIT CARD IPS/NILGIRIS GR/201909122006/000000011017/CHENNAI 124.00 16,982.45
13-09-2019 UPI/925612786216/Maggi and panee/mythreyereddy@o/I 55.00 16,927.45
CICI Bank/
13-09-2019 DEBIT CARD MPS/AVE MARIA G/201909131812/101026/KANCHEEPU 295.00 16,632.45
16-09-2019 UPI/925710002394/Panipuri/mythreyereddy@o/ICICI Ba 20.00 16,612.45
nk/
16-09-2019 DEBIT CARD IPS/CARNIVAL /201909141113/000000006095/KANCHEEP 35.00 16,577.45
U
16-09-2019 DEBIT CARD MPS/KANNAN CATE/201909141134/196562/KANCHIPUR 13.00 16,564.45
16-09-2019 ICICI ATM ATM/SACWL560/CASH WDL/14-09-19 300.00 16,264.45
16-09-2019 UPI/925723429992/Thalapakattu/diwahar506@okic/ICIC 438.00 15,826.45
I Bank/
16-09-2019 DEBIT CARD IPS/SARAVANA ST/201909151845/000000082711/CHENNAI 310.00 15,516.45
16-09-2019 UPI/925821169432/A2b/mythreyereddy@o/ICICI Bank 148.00 15,368.45
16-09-2019 DEBIT CARD MPS/MSW METRO S/201909152143/343741/Kanchipur 1,690.00 13,678.45
Total: 1,278.00 19,810.55 13,678.45
 Page 2 of 3 M-9411921

Statement of Transactions in Savings Account XXXXXXXX4171 in INR for the period September 01, 2019 - September 30, 2019

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

16-09-2019 UPI/925822227328/Chunmmmmaaaa/mythreyereddy@o/ICIC 60.00 13,738.45
I Bank
17-09-2019 UPI/926009072787/Ac/mythreyereddy@o/ICICI Bank 60.00 13,678.45
17-09-2019 UPI/926009102283/UPI/sowjanyareddy61/Indian Bank 230.00 13,448.45
17-09-2019 DEBIT CARD MPS/MURUGAN IDL/201909171730/444882/CHENNAI 58.00 13,390.45
18-09-2019 UPI/926113894474/Food/yuvanthi0112@ok/ICICI Bank 100.00 13,290.45
18-09-2019 ICICI ATM ATM/S1CWI309/CASH WDL/18-09-19 300.00 12,990.45
20-09-2019 UPI/926309561726/noodles/mythreyereddy@o/ICICI Ban 32.00 13,022.45
k
20-09-2019 DEBIT CARD MPS/DOMINOS PIZ/201909202029/496384/CHENNAI 164.00 12,858.45
21-09-2019 UPI/926416009796/paani poori and/mythreyereddy@o/I 30.00 12,888.45
CICI Bank
21-09-2019 UPI/926417119581/Stitching/diwahar506@okic/ICICI B 1,000.00 11,888.45
ank/
21-09-2019 DEBIT CARD MPS/ZUDIO A UNI/201909212118/921528/CHENNAI 798.00 11,090.45
21-09-2019 UPI/926421520878/Dress/saidhanyaa97@ok/Canara Bank 800.00 11,890.45
24-09-2019 UPI/926718017759/UPI/rubeshmeganatha/ICICI Bank 50.00 11,840.45
24-09-2019 UPI/926723428081/UPI/mythreyereddy@o/ICICI Bank 180.00 12,020.45
27-09-2019 UPI/927018362437/Ice cream/vibushithadilip/Indian 85.00 11,935.45
Bank/
30-09-2019 UPI/927216049776/Ticket Transact/bookmyshow.rzp@/H 400.80 11,534.65
DFC BANK LTD/
30-09-2019 DEBIT CARD MPS/OOLONG AND /201909292015/159620/CHENNAI 1,352.00 10,182.65
30-09-2019 UPI/927222571128/UPI/ilak97@okaxis/Karur Vysya Ban 200.00 10,382.65
30-09-2019 057301514171:Int.Pd:29-06-2019 to 29-09-2019 70.00 10,452.65
30-09-2019 CMS TRANSACTION CMS/ INFY SALARY FOR SEP 19/INFOSYS LIMITED 28,805.00 39,257.65
30-09-2019 UPI/927333182921/Oid300328986@Vo/paytm-14690966@/P 35.00 39,222.65
aytm Payments/
TOTAL Total: 30,177.00 4,632.80 39,222.65

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of August, 2019
POINTS BALANCE*
NUMBER NUMBER
My Savings REWARD DEBIT CARD
There are no reward points earned. To know more about the MySavings Rewards Program, please visit us at www.mysavingsrewards.com
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on September 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 XXXXXXXX4171 600229032 ICIC0000573 -
* Nominee name is displayed only on specific consent of customer.
 Page 3 of 3 M-9411921

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
ICICI Bank Limited 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.

• Bank’s Code of Commitment to Customers and Micro and Small Enterprises (MSE): Please • As per prevailing guidelines of the Income tax Act, 1961, if a valid PAN is not provided by the
visit www.icicibank.com > About Us > Notice Board > Code of Commitment. The code customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
has been framed in line with the guidelines provided by Banking Codes and Standards
• In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
Board of India (BCSBI).
• As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be • In case your PAN is not updated in our record, please visit the nearest branch and provide a
generated through the Income tax website for which the PAN of the customer needs to be copy of the PAN card, along with the original PAN card for verification.
necessarily updated in Bank's record. • The address of the customer in Form 16A will be the last updated address in the data base of
the income tax department.
• Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation
(DICGC) up to a maximum of Rs. 1 lakh, for both principal and interest amount held by him • As per PMJJY, debit of Rs 289 is towards insurance premium collected on behalf of ICICI
in the same right and same capacity. Prudential & Rs 41 is towards administration charges by ICICI Bank (including Goods and
Services Tax (GST)). For details, refer Terms and Conditions at www.icicibank.com

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