Page 1 of 3 M-38925962-19056

368501/38925962-19056/1-3/RESGB/03-03

Your Base Branch : ICICI BANK LIMITED

BRANCH, ICICI BANK LTD., AT- PRATAP
MR.ASHUTOS MOHANTY SASAN, PO- BALAKATI, PS - BALIANTA, DIST -
JAGESWARI COLONY,BALAKATI,PRATAPSASAN C T KHURDA 752100
KHORDHA
ODISHA - INDIA - 752100
 Visit www.icicibank.com

 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 : XXXXX7144 as on February 29, 2024

ACCOUNT DETAILS - INR

ACCOUNT TYPE ACCOUNT BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX2072 144.01 0.00 144.01 Registered
TOTAL 144.01 0.00 144.01

Statement of Transactions in Savings Account XXXXXXXX2072 in INR for the period February 01, 2024 - February 29, 2024

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-02-2024 B/F 388.01
INF/INFT/035185293141/33398917
02-02-2024 NET BANKING /ATHENAINFORMATIONSOL/ 16,425.00 16,813.01

UPI/439944411193/Payment from Ph/12sopa@ybl/StateBank

02-02-2024 Of I/IBL89d9e456bf9647c499904c9b3563cb11/ 10,000.00 6,813.01
UPI/403385347254/Payment from
02-02-2024 Ph/paytmqrp9wb4183/Paytm Payments 2,800.00 4,013.01
/IBL47b19c4626ef484d8033fd6ee6d50977
UPI/440090992259/Payment from Ph/Q905233637@ybl/Yes
03-02-2024 Bank Ltd/IBL63d4a4bbe9cd480bb1b4b7483d8688a4/ 1,650.00 2,363.01
UPI/440024333202/Payment from Ph/Q672220347@ybl/Yes
03-02-2024 Bank Ltd/IBLd49ece1290c048b0bec012d56a1fc56e/ 600.00 1,763.01
UPI/440091573285/Payment from Ph/Q535162468@ybl/Yes
03-02-2024 Bank Ltd/IBLa09367d7416148e38554c42e3fd51766/ 160.00 1,603.01
UPI/440109929706/Payment from Ph/9861030616@ibl/State
05-02-2024 Bank Of I/IBL774162566ca34d75b4f778c51e0869e8/ 600.00 1,003.01
UPI/403595204813/Pay to BharatPe/BHARATPE9072795/Yes
05-02-2024 245.00 758.01
Bank Ltd/IBLa6913ef7ad3d49e398bbdca366ed3fb0/
UPI/403591802300/Pay to BharatPe/BHARATPE9072796/Yes
05-02-2024 Bank Ltd/IBLb3cd25701c734bf5b66ef26d711fb680/ 500.00 258.01
UPI/403515970952/Payment from
05-02-2024 Ph/paytmqr28100505/Paytm Payments 189.00 69.01
/IBL7bcaaa5af14a43379938c83d79338c4e
05-02-2024 UPI/440214644572/Payment from Ph/8457954951@axl/State 1,000.00 1,069.01
Bank Of I/AXL6519ff3e953e4a77954c1ac930a1959d
05-02-2024 UPI/440268398266/Payment from Ph/9778110982@ibl/ICICI 1,000.00 69.01
Bank/IBL5df98756e2a14ae8b30a62de8d850042/
UPI/440314337165/Payment from Ph/9827074185sobha/UCO
06-02-2024 Bank/YBL7d599c041fd748da960d69d81484c0f0 140.00 209.01

06-02-2024 NET BANKING BIL/000793415991/FASTAG IMOBILE/OD02CC7017 200.00 9.01

UPI/440466506982/Payment from Ph/9853627976@ybl/State
07-02-2024 Bank Of I/YBLe6f65181eab8410e9f8cc944142100de 11,000.00 11,009.01
UPI/440453617088/Payment from Ph/9090403932@ybl/ICICI
07-02-2024 10,000.00 1,009.01
Bank/IBLf74d170ebe794aa5879666d2e96dd367/
UPI/403864497949/Pay to
07-02-2024 BharatPe/BHARATPE.900648/Federal 120.00 889.01
Bank/IBL5f6b113e257f4f0b9390c9600373ec6c/
UPI/440507916236/Payment from Ph/9861473242@axl/Indian
08-02-2024 Bank/AXLdb2cb57e314a4b2f8011beefce346103 11,000.00 11,889.01
UPI/440577156376/Payment from Ph/Q09617270@ybl/Yes
08-02-2024 Bank Ltd/IBLa0ecde55122b4408aa073078bacd8224/ 11,000.00 889.01
UPI/440511231451/Payment from Ph/Q672220347@ybl/Yes
08-02-2024 200.00 689.01
Bank Ltd/IBL3aace2bbef924191b9a8a31f5f173673/
UPI/440639735070/Payment from
09-02-2024 Ph/7978148870@ibl/Canara 200.00 489.01
Bank/IBLe172d9b17a8d4e4ab0e2ecc84ce4cc9d/
UPI/404051637711/Payment from
09-02-2024 Ph/paytmqr28100505/Paytm Payments 465.00 24.01
/IBLb4dbf8a0d743490bb140f2747dff7581
Total: 39,565.00 39,929.00 24.01
 Page 2 of 3 M-38925962-

Statement of Transactions in Savings Account XXXXXXXX2072 in INR for the period February 01, 2024 - February 29, 2024

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/440777519697/Payment from Ph/9090403932@ybl/ICICI

Bank/YBLd81d2faca772435aa336839504fc3518 8,024.01
12-02-2024 8,000.00
UPI/440720869194/Payment from Ph/8457954951@ibl/State
12-02-2024 Bank Of I/IBL441d0393fec2433e88564e0c092d80fd 500.00 8,524.01
UPI/440742694604/Payment from Ph/8658053310@axl/UCO
12-02-2024 Bank/IBLc3861afb98fa4912aec7bd12b55d5e00/ 8,400.00 124.01
UPI/440880788858/Payment from Ph/Q241515570@ybl/Yes
12-02-2024 Bank Ltd/IBLb176b24bb87b466d99f3d27ade6580ea/ 40.00 84.01
UPI/404483862844/Payment from Ph/paytmqrzc5rh6f3/Paytm
13-02-2024 Payments /IBLcbe811574b5e4309a5e22a0d6663457c 40.00 44.01
UPI/441070661656/Payment from Ph/Q357626785@ybl/Yes
13-02-2024 Bank Ltd/IBL0121b50c7de94daeab422ac7d4ce3f35/ 21.00 23.01

16-02-2024 MABchgs-Jan24+GST 23.00 0.01

UPI/441496064825/Payment from Ph/9853627976@ybl/State
17-02-2024 10,000.00 10,000.01
Bank Of I/YBLdf5a57021c71485f800065a055cb6525
UPI/441562526167/Payment from Ph/8457954951@ybl/State
19-02-2024 5,000.00 5,000.01
Bank Of I/AXL93df592a027b4d3c9df33641a5a3be33/
UPI/404915656843/NA/8457954951@payt/State Bank
19-02-2024 5,000.00 0.01
OfI/PTM9d58f00d314c425e8a686e752325c248/
UPI/441612947922/Payment from
19-02-2024 Ph/9692664553-2@yb/Canara 10,000.00 10,000.01
Bank/YBL6357c0b2b16f448cb9799564d7bf9cf0
UPI/405042567491/Payment from
19-02-2024 Ph/duke.67006041@h/Abhinandan 5,000.00 5,000.01
Urba/AXL3e8cddd19d034aa996fc3f6869feca60
UPI/441704257368/Payment from Ph/9658789765@ybl/State
20-02-2024 7,300.00 12,300.01
Bank Of I/YBLaa8b8506ea9442709ffdf2d0cf8d6da1
UPI/441745493439/Payment from Ph/8457954951@ybl/State
20-02-2024 5,000.00 7,300.01
Bank Of I/AXLa815424ab42d4a34acff84a813807960/
UPI/405144171507/NA/8457954951@payt/State Bank
20-02-2024 5,000.00 2,300.01
OfI/PTM23252d99276441529badff8216bf17a6/
UPI/441847918855/Payment from Ph/AIRTELPREDIRECT/Axis
21-02-2024 157.00 2,143.01
Bank Ltd./AXLe47e2818a55c46ed8bb920700f9e000c/
UPI/405272999058/Pay to
21-02-2024 BharatPe/BHARATPE.900657/Federal 100.00 2,043.01
Bank/AXLcc9e8c6e69504a34afb29459e90d3534/
UPI/441817478267/Payment from Ph/8658053310@axl/UCO
21-02-2024 1,100.00 943.01
Bank/AXL7c00d06db2ee49438c1ebe1195c07215/
UPI/442100386908/Payment from Ph/SATYAJIT BISWAL/Yes
24-02-2024 168.00 775.01
Bank Ltd/AXLe675eae615794468bc327ba2ceb1dcd5/
UPI/405556120262/Payment from Ph/DIPTI RANJAN DA/HDFC
24-02-2024 330.00 445.01
BANK LTD/AXLfd8183a856694e8a82c62c5d7a9ad12c/
UPI/442103736401/Payment from Ph/TAPAS KUMAR
24-02-2024 MUD/HDFC BANK 40.00 405.01
LTD/AXLd0d384b50a5740d4ad17fbfd4ed29af0/
UPI/442140899445/Payment from Ph/RAJESH KUMAR PA/Yes
24-02-2024 116.00 289.01
Bank
UPI/405981054249/Payment
Ltd/AXL5436cf0ca2d14a7da193fbf771d33ed8/
from Ph/RAJA PRASAD
28-02-2024 SAH/Paytm Payments 25.00 264.01
/IBL6f8560546c8c4d629de25a4a55706429
UPI/405930203878/Pay to BharatPe/SANTOS BARIK/YesBank
28-02-2024 100.00 164.01
UPI/442668040144/Payment from Ph/DIBYAJYOTI DUTT/IDBI
Ltd/IBL3c3ab6f0876e4cc58aba97ed69e9088c/
29-02-2024 5,000.00 5,164.01
UPI/442630898515/Payment
Bank from Ph/PRAKASH PALAI/ICICI
Limit/AXLac5f68e42a7f4c748875cb48f2788367
29-02-2024 5,000.00 164.01
UPI/406001137524/Payment from Ph/KARTTIK GIRI/Paytm
Bank/IBLb546a33e4e6f4659ae15ba9ac20da138/
29-02-2024 20.00 144.01

Total:
Payments /IBL8b82c3c2aa744448ba5e9d7d388f4ba9/ 40,800.00 40,680.00 144.01

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings XXXXXXXX2072 751229017 ICIC0003685 -
* 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.
 Page 3 of 3 M-38925962-

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 Requests > Debit/Inquiry Cards > Block Debit/Inquiry Card.
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.

 There is a revision in the service charge for domestic Savings Accounts w.e.f. Oct 01, 2022. For  Do not fall prey to fictitious offers about winning prizes, money circulation schemes, cheap funds, etc. through SMS,
details, please visit https://www.icicibank.com/notice-board.page e-mails and calls.
 There is a change in the Terms and Conditions for Salary Accounts. For details, visit  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
 Bank’s Code of Commitment to its Customers and Micro and Small Enterprises (MSE): Please visit higher. PAN can be updated online or at the nearest ICICI Bank Branch .
www.icicibank.com > ‘About Us’ > ‘Notice Board’ > ‘Code of Commitment’. The Code has been framed  The address of the customer in Form 16A will be the last updated address in the database of the income tax
as per the guidelines provided by Banking Codes and Standards Board of India (BCSBI). department.
 As per the guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be generated  PMJJBY Insurance: The insurance premium is collected on behalf of ICICI Prudential Life Insurance Company
through the Income tax website for which the PAN of the customer needs to be necessarily updated in the Limited plus administration charges are collected by ICICI Bank (including GST), as per the existing laws. Effective
Bank's record. Sep 01, 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)
 The depositor is insured by the Deposit Insurance and Credit Guarantee Corporation (DICGC) up to a
between May 25 and May 31, every year. For details on the premium structure, refer to the Terms & Conditions
maximum of Rs. 5 lakh, for both principal and interest amount held by him/her in the same right and same
under the Pradhan Mantri Social Security Schemes at www.icicibank.com .
capacity.
 Please refer to the notice on our website regarding the revisions in IMPS charges for certain Current Account
 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 Category of service: Banking & Financial Services.
007.
This is an authenticated intimation/statement. statement. Registrati
Customers are requested to immediately notify the Bank in case of any error(s) in the on No.
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MIV/ST/Bank & Finc/4. CIN : L65190GJ1994PLC021012 SR244554715