Customer Name Card Account No

MR SAYAN GHOSH 4375 XXXX XXXX 4005

SIMPLEX INFRASTRUCTURES LIMITED
NHIDEL ROAD PROJECT VILLT PO NAPAM PS
BARGHAT OUT POST DIST SONITPUR ASSAM
NR TEZPUR UNIVERSITY
TEZPUR 784028

Statement Period

01/04/2021 TO 31/03/2022

TRANSACTION DETAILS
Card Number : 4375 XXXX XXXX 4005
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
02-APR-21 Principal Amount Amortization - <6/12> 0.00 2,317.91

02-APR-21 Interest Amount Amortization - <6/12> 0.00 195.91

02-APR-21 IGST-CI@18% 0.00 35.26

05-APR-21 Interest Amount Amortization - <16/18> 0.00 28.94

05-APR-21 IGST-CI@18% 0.00 5.21

05-APR-21 Principal Amount Amortization - <16/18> 0.00 762.66

27-APR-21 210101094429 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -3,500.00

02-MAY-21 Principal Amount Amortization - <7/12> 0.00 2,344.94

02-MAY-21 Interest Amount Amortization - <7/12> 0.00 168.88

02-MAY-21 IGST-CI@18% 0.00 30.40

05-MAY-21 Interest Amount Amortization - <17/18> 0.00 19.41

05-MAY-21 Principal Amount Amortization - <17/18> 0.00 772.19

05-MAY-21 IGST-CI@18% 0.00 3.49

26-MAY-21 210121836873 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -4,000.00

02-JUN-21 Principal Amount Amortization - <8/12> 0.00 2,372.27

02-JUN-21 IGST-CI@18% 0.00 25.48

02-JUN-21 Interest Amount Amortization - <8/12> 0.00 141.55

05-JUN-21 Principal Amount Amortization - <18/18> 0.00 781.85

05-JUN-21 Interest Amount Amortization - <18/18> 0.00 9.77

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4375 XXXX XXXX 4005
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
06-JUN-21 IGST-CI@18% 0.00 1.76

12-JUN-21 Interest Amount Amortization - 0.00 67.09

<1/3>FLIPKART PAYMENTS

12-JUN-21 74766511163123393701485 FLIPKART PAYMENTS BANGALORE IN 0.00 0.00

12-JUN-21 Principal Amount Amortization - 0.00 1,976.76

<1/3>FLIPKART PAYMENTS

13-JUN-21 IGST-CI@18% 0.00 12.08

25-JUN-21 210143960359 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -5,000.00

02-JUL-21 Interest Amount Amortization - <9/12> 0.00 113.89

02-JUL-21 IGST-CI@18% 0.00 20.50

02-JUL-21 Principal Amount Amortization - <9/12> 0.00 2,399.93

12-JUL-21 Principal Amount Amortization - 0.00 2,000.31

<2/3>FLIPKART PAYMENTS

12-JUL-21 Interest Amount Amortization - 0.00 43.54

<2/3>FLIPKART PAYMENTS

12-JUL-21 IGST-CI@18% 0.00 7.84

26-JUL-21 210168002625 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -4,160.00

02-AUG-21 Interest Amount Amortization - <10/12> 0.00 85.91

02-AUG-21 IGST-CI@18% 0.00 15.46

02-AUG-21 Principal Amount Amortization - <10/12> 0.00 2,427.91

12-AUG-21 Interest Amount Amortization - 0.00 21.89

<3/3>FLIPKART PAYMENTS

12-AUG-21 IGST-CI@18% 0.00 3.94

12-AUG-21 Principal Amount Amortization - 0.00 2,021.93

<3/3>FLIPKART PAYMENTS

17-AUG-21 74332741230122911366687 HAPPYEASYGO TRAVELS PR BANGALORE 0.00 29,048.00

IN

19-AUG-21 210187652626 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -34,000.00

22-AUG-21 HAPPYEASYGO TRAVELS PR BANGALORE 0.00 -29,048.00

IN

22-AUG-21 Principal Amount Amortization - 0.00 4,682.45

<1/6>HAPPYEASYGO TRAVELS PR

22-AUG-21 IGST-CI@18% 0.00 69.72

22-AUG-21 Interest Amount Amortization - 0.00 387.31

<1/6>HAPPYEASYGO TRAVELS PR

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4375 XXXX XXXX 4005
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
22-AUG-21 IGST-CI@18% 0.00 104.57

22-AUG-21 HAPPYEASYGO TRAVELS PR BANGALORE 0.00 580.96

IN

25-AUG-21 EMI PRINCIPAL 0.00 24,365.55

25-AUG-21 IGST-Rev-CI@18% 0.00 -69.72

25-AUG-21 Reversal Interest Amount Amortization - 0.00 -387.31

<1/6>HAPPYEASYGO TRA

25-AUG-21 EMI PROCESSING FEE REVERSAL 0.00 -580.96

25-AUG-21 IGST-Rev-CI@18% 0.00 -104.57

02-SEP-21 IGST-CI@18% 0.00 10.37

02-SEP-21 Interest Amount Amortization - <11/12> 0.00 57.60

02-SEP-21 Principal Amount Amortization - <11/12> 0.00 2,456.22

12-SEP-21 74332741256125539347426 HAPPYEASYGO INDIA PVT BANGALORE IN 0.00 6,010.00

20-SEP-21 Interest Amount Amortization - 0.00 80.13

<1/3>HAPPYEASYGO INDIA PVT

20-SEP-21 HAPPYEASYGO INDIA PVT BANGALORE IN 0.00 -6,010.00

20-SEP-21 HAPPYEASYGO INDIA PVT BANGALORE IN 0.00 120.20

20-SEP-21 IGST-CI@18% 0.00 21.64

20-SEP-21 Principal Amount Amortization - 0.00 1,976.86

<1/3>HAPPYEASYGO INDIA PVT

20-SEP-21 IGST-CI@18% 0.00 14.42

26-SEP-21 210216271073 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -4,362.30

02-OCT-21 Interest Amount Amortization - <12/12> 0.00 28.97

02-OCT-21 Principal Amount Amortization - <12/12> 0.00 2,484.82

03-OCT-21 IGST-CI@18% 0.00 5.22

10-OCT-21 74056631284128318928054 FLIPKART INTERNET PRIVATE BANGALORE 0.00 2,723.00

IN

20-OCT-21 Interest Amount Amortization - 0.00 53.78

<2/3>HAPPYEASYGO INDIA PVT

20-OCT-21 IGST-CI@18% 0.00 9.68

20-OCT-21 Principal Amount Amortization - 0.00 2,003.21

<2/3>HAPPYEASYGO INDIA PVT

23-OCT-21 210238141810 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -7,308.68

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4375 XXXX XXXX 4005
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
20-NOV-21 Principal Amount Amortization - 0.00 2,029.93
<3/3>HAPPYEASYGO INDIA PVT

20-NOV-21 Interest Amount Amortization - 0.00 27.06

<3/3>HAPPYEASYGO INDIA PVT

21-NOV-21 IGST-CI@18% 0.00 4.87

26-NOV-21 210264707770 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -2,061.86

12-FEB-22 24197382044043181428064 MSW*BHAGWATI MOBILE GAL 0.00 10,500.00

Muzaffarnaga IN

15-FEB-22 IGST-CI@18% 0.00 25.20

15-FEB-22 Interest Amount Amortization - 0.00 140.00

<1/6>MSW*BHAGWATI MOBILE GAL

15-FEB-22 MSW*BHAGWATI MOBILE GAL 0.00 210.00

Muzaffarnaga IN

15-FEB-22 MSW*BHAGWATI MOBILE GAL 0.00 -10,500.00

Muzaffarnaga IN

15-FEB-22 Principal Amount Amortization - 0.00 1,692.57

<1/6>MSW*BHAGWATI MOBILE GAL

15-FEB-22 IGST-CI@18% 0.00 37.80

16-FEB-22 Processing Fee 199 : 0% 0.00 199.00

16-FEB-22 INSTANT EMI OFFUS CONVERSION 0.00 0.00

16-FEB-22 IGST-CI@18% 0.00 35.82

16-FEB-22 Principal Amount Amortization - <1/6> 0.00 1,699.69

16-FEB-22 IGST-CI@18% 0.00 22.03

16-FEB-22 Interest Amount Amortization - <1/6> 0.00 122.41

17-FEB-22 INSTANT EMI OFFUS CONVERSION_C 0.00 -10,500.00

17-FEB-22 IGST-Rev-CI@18% 0.00 -25.20

17-FEB-22 IGST-Rev-CI@18% 0.00 -37.80

17-FEB-22 EMI PROCESSING FEE REVERSAL 0.00 -210.00

17-FEB-22 Reversal Interest Amount Amortization - 0.00 -140.00

<1/6>MSW*BHAGWATI MO

17-FEB-22 EMI PRINCIPAL 0.00 8,807.43

24-FEB-22 220334353135 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -2,078.95

16-MAR-22 Interest Amount Amortization - <2/6> 0.00 102.60

16-MAR-22 Principal Amount Amortization - <2/6> 0.00 1,719.50

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4375 XXXX XXXX 4005
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
16-MAR-22 IGST-CI@18% 0.00 18.47

23-MAR-22 220356863973 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -1,840.57

For ICICI Bank Limited.

Sudipta Roy
Head – Consumer Cards

Important Messages
Safe Banking Tips - Do not transact if you find any suspicious device attached to the ATM. Do not take help
from strangers at an ATM.

ICICI Bank Credit Cards Goods and Services Tax Identification Number (GSTIN) is 27AAACI1195H3ZK

HSN Code for service: 9971 - Financial and related services

Our registered office address : ICICI Bank Tower, Bandra Kurla Complex, MUMBAI, Mumbai Suburban,
Maharashtra - 400051

Making only minimum payment every month can lead to repayment stretching over years with consequent
interest payment on outstanding balance

Please pay your credit card outstanding before the payment due date to avoid penal fees and interest
charges.

For payments made through cheque, we request you to make the payment atleast 3 working days before the
due date incase of an ICICI Bank cheque and 5 working days before the due date for Non-ICICI Bank cheques.

For any clarification or more information, you may contact us through the 'Get in Touch' option at
www.icicibank.com

* Mark-up fee and corresponding GST levied is included in the transaction amount displayed

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement