Page 1 of 3 M-76543125-1

088501/76543125-1/1-3/RESTS/09-26
Your Base Branch : GHAZIABAD SHALIMAR
GARDEN BRANCH, H-1- BLOCK - B- GIRDHAR
COMPLEX SHALIMAR GARDEN EXTENSION 2-
MR.NIKHIL GUPTA SAHIBABAD 201012
G-239,BLOCK-G, JALVAYU VIHAR,,
SEC-PHI-2,POCKET-4,AWHO SOCIETY,
GAUTAM BUDDHA NAGAR, KASANA
: Visit www.icicibank.com
GREATER NOIDA Å Dial your Bank 1800 1080
UTTAR PRADESH - INDIA - 201310

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 : XXXXX6504 as on May 31, 2022

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX3926 1,01,760.91 0.00 1,01,760.91 Registered

PPF A/c XXXXXXXX6925 12,80,551.00 0.00 12,80,551.00 Registered

TOTAL 13,82,311.91 0.00 13,82,311.91

Statement of Transactions in Savings Account XXXXXXXX3926 in INR for the period May 01, 2022 - May 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-05-2022 B/F 1,50,585.57
UPI/212115129451/payment on CRED/cred.club@axisb/Axis
02-05-2022 914.50 1,49,671.07
Bank Ltd./ACDwYLzvP563lzBrneM05dj/
02-05-2022 APY_500297366029_Rs.630 fr 052022 630.00 1,49,041.07
UPI/212210170897/payment on CRED/cred.club@axisb/Axis
02-05-2022 351.94 1,48,689.13
Bank Ltd./ACDpaYqQPykrYzNgrqDVdX8/
UPI/212210707674/payment on CRED/cred.club@axisb/Axis
02-05-2022 609.00 1,48,080.13
Bank Ltd./ACDyZpLkPBkY9k8LbnW0nXQ/
UPI/212210264856/payment on CRED/cred.club@axisb/Axis
02-05-2022 10.00 1,48,070.13
Bank Ltd./ACDpaYqQPykqyQ1DngzVdX8/
UPI/212212459721/payment on CRED/cred.club@axisb/Axis
02-05-2022 53.76 1,48,016.37
Bank Ltd./ACDvK2d9PG9kGYz2lD1VErW/
UPI/212212358212/payment on CRED/cred.club@axisb/Axis
02-05-2022 2,424.68 1,45,591.69
Bank Ltd./ACD75rWQ0xxRjDaL4Ky0K6e/
UPI/212212580232/payment on CRED/cred.club@axisb/Axis
02-05-2022 12,546.91 1,33,044.78
Bank Ltd./ACDp2bY7PqpmegM8D2KJGXR/
UPI/212266615314/Oid202205021954/paytm-52289765@/Paytm
02-05-2022 220.00 1,32,824.78
Payments /PTMB2F83A1361E44CE8BB5037B83B54F246
UPI/212285583749/Oid202205022121/paytm-44272469@/Paytm
02-05-2022 252.00 1,32,572.78
Payments /PTM34528120FFD9441286966ACAB8F5CE15
UPI/212326033320/NA/9990787494@payt/State Bank
03-05-2022 140.00 1,32,712.78
OfI/PTM40605DB8D158497F9EEBC3ACEC429D14
04-05-2022 CLG/OMICORN INDANE/282772/UBI/21.04.2022 1,032.00 1,33,744.78
UPI/212471386625/Oid202205042000/paytm-23305418@/Paytm
04-05-2022 95.00 1,33,649.78
Payments /PTMCC8A7001EE1743F7A622336B4F1ABB57
UPI/212473527069/Oid202205042021/paytm-23305418@/Paytm
04-05-2022 15.00 1,33,634.78
Payments /PTM62EF4AB7333E45418ED1387ED71E49D6
UPI/212509868039/NA/9412433262@payt/State Bank
05-05-2022 500.00 1,34,134.78
OfI/PTM04c4485a6a28452b8feda67670e81722
UPI/212518258895/payment on CRED/cred.club@axisb/Axis
05-05-2022 1,173.63 1,32,961.15
Bank Ltd./ACDEGMvd06EjaadwrrQPl5z/
UPI/212678908118/Oid202205062018/paytm-52289765@/Paytm
06-05-2022 220.00 1,32,741.15
Payments /PTMF9C747175C4343CA8EF94B4BF094B017
UPI/212772325227/Oid202205072046/paytm-52289765@/Paytm
07-05-2022 200.00 1,32,541.15
Payments /PTMF6570511557046698F8239E625FDCA75
UPI/212828924511/Oid202205081318/paytm-8775486@p/Paytm
09-05-2022 30.00 1,32,511.15
Payments /PTM615481DECEF943A6968DEA31A1F538E6
UPI/212857842907/NA/8377034175@payt/Paytm Payments
09-05-2022 4,000.00 1,36,511.15
/PTM2a692cd725fd4963ab8ec24d20fb5450
UPI/212857864320/NA/8377034175@payt/Canara
09-05-2022 400.00 1,36,911.15
Bank/PTMe1ebaaddce0a4fd1b074bab964e2850b
UPI/213001480975/Oid202205100920/paytm-2347511@p/Paytm
10-05-2022 160.00 1,36,751.15
Payments /PTM0633894811F142D18ACC20F6EAD4C7CC
UPI/213002381582/NA/gpay-1117060144/Axis Bank
10-05-2022 20.00 1,36,731.15
Ltd./PTM637AC5F0D0004E5689AF53F2D08FA046/
UPI/213054403425/Oid202205101822/paytm-2347511@p/Paytm
10-05-2022 160.00 1,36,571.15
Payments /PTM2399EB13B22B494D90AEA11F6990950B
11-05-2022 ACH/HCLDIV PYMT 165378/72PR22050601SDBB 2,160.00 1,38,731.15
Total: 8,232.00 20,086.42 1,38,731.15
 Page 2 of 3 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX3926 in INR for the period May 01, 2022 - May 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/213283555986/NA/9899620149@payt/Axis Bank
12-05-2022 187.00 1,38,544.15
Ltd./PTM525CE763827542EAA44804333613E326/
UPI/213349622671/Oid202205131635/paytm-52289765@/Paytm
13-05-2022 140.00 1,38,404.15
Payments /PTM8297DA35243E40A68E2D583283AA75A0
UPI/213456739689/NA/9871564257@payt/Union Bank
16-05-2022 200.00 1,38,204.15
ofI/PTM9125937364E7472692EB6E5742EDC695/
UPI/213483711915/NA/9555051703@payt/HDFC BANK
16-05-2022 1,793.00 1,36,411.15
LTD/PTM77F4AB8FAEE74BCAB223381759C0FB1F/
UPI/213502002479/Oid202205150045/paytm-65766195@/Paytm
16-05-2022 1,500.00 1,34,911.15
Payments /PTM5E3FA220A7234A94847A435F3ADA50E1
UPI/213568179224/NA/8851985905@payt/Paytm Payments
16-05-2022 4,000.00 1,30,911.15
/PTM644754C2916D494A8E5AD797E456D44E/
UPI/213743410589/Oid202205171755/paytm-52289765@/Paytm
17-05-2022 160.00 1,30,751.15
Payments /PTM6BD06E480DA44224A13AEA842C7E1689
UPI/213918950986/Oid202205191006/paytm-68596@pay/Paytm
19-05-2022 386.23 1,30,364.92
Payments /PTM13239EFA161940E29D07675B9DC514FE
UPI/213925660702/NA/Q211134504@ybl/HDFC BANK
19-05-2022 20.00 1,30,344.92
LTD/PTM070EADDD12D147589F84A5403444578B/
UPI/213940941799/Oid202205191622/paytm-52289765@/Paytm
19-05-2022 140.00 1,30,204.92
Payments /PTM62A377E9F78C4507953AD30F1EC593BF
UPI/213974214953/NA/7290819029@ybl/Central Bank
19-05-2022 300.00 1,29,904.92
Of/PTM3F93AB06D81A448EB8998BAC069541B8/
UPI/214174751090/Oid202205212011/paytm-40393687@/Paytm
21-05-2022 115.00 1,29,789.92
Payments /PTMC9BB5EBE63644847B09B16DA45B11F5E
UPI/214175823150/Oid202205212021/paytm-64604214@/Paytm
21-05-2022 70.00 1,29,719.92
Payments /PTM2FFA1B2A5FC44BB89F31377C5C0123DF
UPI/214176360884/NA/Q546262257@ybl/IDBI Bank
21-05-2022 5.00 1,29,714.92
Limit/PTMF05A7FD348B24D19825C67907DCCF997/
UPI/214329540599/NA/Q211134504@ybl/HDFC BANK
23-05-2022 40.00 1,29,674.92
LTD/PTM4AD49CC35CDF4506BAE22B2E4271864D/
UPI/214348320881/Oid31C7811F58FD/paytm-728900503/Paytm
23-05-2022 10.00 1,29,664.92
Payments /PTM38FD470E638B45D79DC9BDAE987D8B8D
UPI/214340232659/Oid202205231639/paytm-52289765@/Paytm
23-05-2022 120.00 1,29,544.92
Payments /PTMD4483ACB19644E39B902776A08FAF4CF
UPI/214378201414/NA/9205193583@payt/Bank of
23-05-2022 20.00 1,29,524.92
Baroda/PTM92E91A44661948D7971AFC89633756CB/
UPI/214448791555/Oid202205241734/paytm-52289765@/Paytm
24-05-2022 160.00 1,29,364.92
Payments /PTMA7C9EF079FC34E0AAC4D697FB2D40E2A
UPI/214461191717/Oid202205241949/paytm-59150971@/Paytm
24-05-2022 55.00 1,29,309.92
Payments /PTM8BF973F1D35B47A9AFAA1D38764A5006
UPI/214473230970/Oid202205242008/paytm-66278307@/Paytm
24-05-2022 30.00 1,29,279.92
Payments /PTM953231F3AF32436F877934A442FFA841
UPI/214509289313/Remarks/7028023588.FL@m/Airtel
25-05-2022 37.99 1,29,241.93
Payments/APB5e68bc04ab63463b9c6cce84ecea4f75/
UPI/214562069053/Oid202205251901/paytm-8775486@p/Paytm
25-05-2022 51.00 1,29,190.93
Payments /PTM9316207335DA4C5B86F56041C00EF096
26-05-2022 CLG/FLAT OWNER WELFARE ASSO/805630/SBI/13.05.2022 5,000.00 1,34,190.93
UPI/214603123033/NA/Q763445901@ybl/Punjab
26-05-2022 60.00 1,34,130.93
National/PTM0A3C7541223A42D4AFD142FB1694D99F/
UPI/214603207988/Oid202205260921/paytm-39934951@/Paytm
26-05-2022 10.00 1,34,120.93
Payments /PTM46004562CD5A4D059192AA4096A0A588
UPI/214603992965/Oid202205260935/paytm-42352@pay/Paytm
26-05-2022 498.12 1,33,622.81
Payments /PTMAADF4F9AAEC14DC59581778C188A0647
26-05-2022 PMSBY RENEWAL PREMIUM FY 23 12.00 1,33,610.81
UPI/214654705491/Oid202205261813/paytm-43623575@/Paytm
26-05-2022 220.00 1,33,390.81
Payments /PTM1B490BEB74D3499FA08CA31C785B1083
UPI/214660354153/Oid202205261917/paytm-36961293@/Paytm
26-05-2022 200.00 1,33,190.81
Payments /PTM3696E807D94645409A4775ECA0522F82
UPI/214662734655/NA/Q784506800@ybl/Yes Bank
26-05-2022 85.00 1,33,105.81
Ltd/PTM35EC0B9119CD43E1B6253F1F6BB8109C/
NEFT-SBIN322147247789-SYRMA TECHNOLOGY PVT
27-05-2022 22,058.00 1,55,163.81
LTD-/ATTN//INB-00000030978035835-SBIN0004327
UPI/215000639543/Oid202205300910/paytm-9325378@p/Paytm
30-05-2022 585.45 1,54,578.36
Payments /PTMC592F7153BE34D44A0A1CA60D9C68801
UPI/215026671662/NA/Q211134504@ybl/HDFC BANK
30-05-2022 10.00 1,54,568.36
LTD/PTM87E5353B09294F0297807560C6CD3841/
UPI/215051901140/Oid202205301809/paytm-52289765@/Paytm
30-05-2022 140.00 1,54,428.36
Payments /PTM8225A0856A4C4DA7814AE83D3A229E0D
30-05-2022 OTHER ATMS NFS/00691202/CASH WDL/30-05-22 10,000.00 1,44,428.36
30-05-2022 OTHER ATMS NFS/00691202/CASH WDL/30-05-22 10,000.00 1,34,428.36
31-05-2022 CHEQUE 12392 CLG/MR PRAVEEN/SBI 54,400.00 80,028.36
NEFT-SBIN222151130039-SYRMA TECHNOLOGY PVT
31-05-2022 LTD-/ATTN//INB TAMIL 1,38,590.00 2,18,618.36
NADU-00000030978035835-SBIN0004327
UPI/215143010349/Oid202205311636/paytm-52289765@/Paytm
31-05-2022 140.00 2,18,478.36
Payments /PTM2B0E40156E0E461694DFFF81C268AFAC
Total: 1,65,648.00 85,900.79 2,18,478.36
 Page 3 of 3 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX3926 in INR for the period May 01, 2022 - May 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/215122149515/payment on CRED/cred.club@axisb/Axis
31-05-2022 1,415.37 2,17,062.99
Bank Ltd./ACDrLvpX02KMYljmgWwV1Qj/
UPI/215122186883/payment on CRED/cred.club@axisb/Axis
31-05-2022 5,226.36 2,11,836.63
Bank Ltd./ACD2X1E3PbXKeE9q92nVeRb/
31-05-2022 BIL/INFT/000410274276/CC Bill/Self 75.72 2,11,760.91
31-05-2022 NET BANKING INF/INFT/000054524629/Funding/Self 1,10,000.00 1,01,760.91
Total: 0.00 1,16,717.45 1,01,760.91

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings XXXXXXXX3926 110229111 ICIC0000885 -

* Nominee name is displayed only on specific consent of 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. l Do not fall prey to fictitious offers of winning prizes, money circulation schemes and cheap
For details, please visit https://www.icicibank.com/notice-board.page funds, etc. through SMS, e-mails and calls.
l There is a change in the terms and conditions for Salary Accounts. For detailed terms and l As per the prevailing guidelines of the Income Tax Act, 1961, if a valid PAN is not provided by
conditions, visit www.icicibank.com/managed-assets/docs/terms-condition/tnc-savings-account.pdf the customer, then the Form 15G/15H shall not be treated as valid and tax shall be deducted at
(Clause XV). the prevailing rate or at 20%, whichever is higher. PAN can be updated online or at the nearest
l Bank’s Code of Commitment to Customers and Micro and Small Enterprises (MSE): Please branch.
visit www.icicibank.com > About Us > Notice Board > Code of Commitment. The code l The address of the customer in Form 16A will be the last updated address in the data base of the
has been framed in line with the guidelines provided by Banking Codes and Standards income tax department.
Board of India (BCSBI).
l PMJJBY Insurance: The insurance premium is collected on behalf of ICICI Prudential Life
l As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be Insurance Company Limited plus administration charges collected by ICICI Bank (including GST),
generated through the Income tax website for which the PAN of the customer needs to be in line with extant laws. Effective Sep 01, 2018, a premium is charged on a pro rata basis for all
necessarily updated in Bank's record. new enrolments in the scheme. It is noteworthy that the renewal premium for all existing
l Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation customers shall be charged for a period of one year (i.e. Rs 330) on May 25 - May 31 every year.
(DICGC) up to a maximum of Rs. 5 lakh, for both principal and interest amount held by him For details on the premium structure, refer to the Terms & Conditions under the Pradhan Mantri
in the same right and same capacity. Social Security 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. SR201850771