Page 1 of 2 M-76543125-1

003317/76543125-1/1-2/RESGB/09-26
Your Base Branch : ICICI BANK LIMITED
BRANCH, PRICOL CAMPUS,METTUPALAYAM
ROAD, PERIANAICKENPALAYAM, 641020
MR.SENTHIL R
16/14A,KALIAMMAL COLONY,ROAD,CBE NORTH,
APPANAICKENPALAYAM : Visit www.icicibank.com
COIMBATORE
TAMIL NADU - INDIA - 641034
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 : XXXXX5111 as on February 28, 2023

ACCOUNT DETAILS - INR

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

Savings A/c XXXXXXXX1267 12,310.76 0.00 12,310.76 Not Registered

TOTAL 12,310.76 0.00 12,310.76

Statement of Transactions in Savings Account XXXXXXXX1267 in INR for the period February 01, 2023 - February 28, 2023

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-02-2023 B/F 3,724.92

VPS/BPCL
02-02-2023 DEBIT CARD 200.00 3,524.92
JAISHR/202302021121/303305897590/COIMBATOR
03-02-2023 CREDIT CARD ATD/Auto Debit CC0xx2062 801.80 2,723.12
UPI/303498795770/Payment from Ph/9500992293@ybl/Union
03-02-2023 500.00 3,223.12
Bank of I/YBL5320ffa9addf453dacb829c9f1cc6580
NEFT-AXTB230352903258-CHANDRA AUTOMOBILE INDIA
04-02-2023 28,620.00 31,843.12
PVT LTD- -910020036156557-UTIB0000842
UPI/303541509005/Payment from Ph/9500992293@ybl/Karur
04-02-2023 2,000.00 29,843.12
Vysya Ban/YBLd826744315db4f8ca698e27b45ff1846/
UPI/340101165390/Payment from Ph/9500992293@ybl/State
04-02-2023 2,000.00 27,843.12
Bank Of I/YBL7011d8a1aaa64ca0b9af0ec41a6d2fda/
UPI/303597113543/Payment from Ph/9500992293@ybl/Union
04-02-2023 2,000.00 25,843.12
Bank of I/YBL2b688b3a139c4945a1e2a790fb2a8f31/
IPS/K
06-02-2023 DEBIT CARD 500.00 25,343.12
RANGASWAM/202302051649/000000013348/COIMBATOR
UPI/340364374129/Payment from Ph/7667516882@ybl/State
06-02-2023 3,160.00 22,183.12
Bank Of I/YBL234c2a0613884962bb2c7c14b9c96d29/
UPI/340353039377/Payment from Ph/jrajasrekar@ybl/State
06-02-2023 1,000.00 21,183.12
Bank Of I/YBL2b02a27236aa428092e92d1f6854cd31
UPI/340381427534/Payment from Ph/9245391701@ybl/Indian
06-02-2023 5,000.00 16,183.12
Bank/YBL4176717d1e61456e9ec029522f482ef3/
06-02-2023 ICICI ATM ATM/SPCNR044/CASH WDL/06-02-23 9,000.00 7,183.12
07-02-2023 Surcharge Dt:05/02/23 MCC 5541 2.36 7,180.76
VPS/CHINTHAMANI/202302091712/304011028490/COIMBAT
09-02-2023 DEBIT CARD 500.00 6,680.76
OR
10-02-2023 ICICI ATM ATM/S1CWI468/CASH WDL/10-02-23 1,000.00 5,680.76
10-02-2023 DEBIT CARD VPS/THIRUKALYNA/202302110034/304119765250/Coimbator 1,435.00 4,245.76
UPI/340708386045/Payment from Ph/BILLDESKPP@ybl/Yes
10-02-2023 299.00 3,946.76
Bank Ltd/YBLad4e40edc1f44c888af96d23f5c827fb/
UPI/340815706787/Payment from Ph/AIRTELPREDIRECT/Yes
11-02-2023 155.00 3,791.76
Bank Ltd/YBLefb10cfb0d6a420b896a9ff46caae70d/
11-02-2023 VSI/GOOGLE PLAY/202302112201/304216744519/ 55.00 3,736.76
UPI/341056783086/Payment from Ph/AIRTELPREDIRECT/Yes
13-02-2023 155.00 3,581.76
Bank Ltd/YBLa52da65c27d44f778167efc8e9d70299/
16-02-2023 ICICI ATM ATM/S1CNR879/CASH WDL/16-02-23 1,000.00 2,581.76
MMT/IMPS/305118606816/ICICI Penny Drop Test/RAMASAMY
20-02-2023 MOBILE BANKING 1.00 2,582.76
to SENTHIL R
MMT/IMPS/305119768747/ICICI Penny Drop Test/RAMASAMY
20-02-2023 MOBILE BANKING 1.00 2,583.76
to SENTHIL R
MMT/IMPS/305119769569/ICICI Penny Drop Test/RAMASAMY
20-02-2023 MOBILE BANKING 1.00 2,584.76
to SENTHIL R
VPS/VAIDYARATNA/202302212219/305216987017/COIMBAT
21-02-2023 DEBIT CARD 465.00 2,119.76
OR
UPI/342001853538/Payment from Ph/BBPSBP@ybl/Yes Bank
23-02-2023 200.00 1,919.76
Ltd/YBL5f85f99cbbbb419aacae399af9bea2e1/
NEFT-N055232344819453-STAR HEALTH AND ALLIED
24-02-2023 11,470.00 13,389.76
INSURANCE 52-900008-01192090000052-HDFC0000240
Total: 40,593.00 30,928.16 13,389.76
 Page 2 of 2 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX1267 in INR for the period February 01, 2023 - February 28, 2023

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

VPS/CHINTHAMANI/202302261415/305708805536/COIMBAT
27-02-2023 DEBIT CARD 500.00 12,889.76
OR
VPS/HOTEL SREE
27-02-2023 DEBIT CARD 250.00 12,639.76
/202302261513/305709847090/COIMBATOR
UPI/342484654812/Payment from Ph/AIRTELPREDIRECT/Yes
27-02-2023 179.00 12,460.76
Bank Ltd/YBL710b772a82bb48d8a1cd8238579b639c/
UPI/342537634249/Pay to BharatPe/bharatpe9072102/Yes
28-02-2023 150.00 12,310.76
Bank Ltd/ICI79183b9ae7bc47efbcff853dff086fbe/
Total: 0.00 1,079.00 12,310.76

Account Related Other Information

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

Savings XXXXXXXX1267 641229003 ICIC0000033 -

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

Sincerely,

Team ICICI Bank 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
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.

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