Page 1 of 6 M-76543125-1

187302/76543125-1/1-6/RESGB/11-15
Your Base Branch : NASHIK-KALIKA MANDIR
ROAD BRANCH, B 1-3 AND B 29-31, OPP TO
KALIKA DEVI MANDIR, GADKARI CHOWK,OLD
MR.YASH YOGESH PATIL MUMBAI-AGRA ROAD, 422001
104,KRUSHNA RESIDENCY,TRIKONI GARDENKATHE,
DWARKA,BANKAR MALA
NASHIK
: Visit www.icicibank.com
MAHARASHTRA - INDIA - 422011 Å Dial your Bank 1860 120 7777

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 : XXXXX7780 as on October 31, 2022

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX4388 1,08,524.65 0.00 1,08,524.65 Registered

TOTAL 1,08,524.65 0.00 1,08,524.65

Statement of Transactions in Savings Account XXXXXXXX4388 in INR for the period October 01, 2022 - October 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-10-2022 B/F 1,32,160.05
UPI/227410800313/Payment from Ph/PAYBPCL@IDFCBAN/IDFC
01-10-2022 120.00 1,32,040.05
FIRST Bank/IBLe0f1e2cb5f7349f8a5368566192e0602
01-10-2022 CHEQUE 921 CLG/RADHESHYAM DEVELOPERS/VCB 1,00,000.00 32,040.05
UPI/227450646768/Payment from Ph/Q680213278@ybl/Bank of
01-10-2022 60.00 31,980.05
Baroda/YBLc268060a8032432f8667f292835ccb39/
UPI/264063262369/Payment from Ph/yashpatil311@yb/HDFC
01-10-2022 100.00 31,880.05
BANK LTD/YBLd409904ca0b343dcbf4fb86777843747/
UPI/227477824436/Payment from Ph/yashu.yp.345@ib/Axis
01-10-2022 4,511.00 27,369.05
Bank Ltd./IBL84c3f5d38bb9448a9e5765079ebcf888/
UPI/227475752094/Payment from Ph/dominospizzaonl/Paytm
01-10-2022 495.00 26,874.05
Payments /PYTM20221001368549328591/
UPI/264038712013/Payment from Ph/yashu.yp.345@ax/Axis
01-10-2022 100.00 26,774.05
Bank Ltd./AXL82aef626626a45369840a1ab0923fc21/
UPI/227448488947/Payment from Ph/paytmqr28100505/Paytm
01-10-2022 62.00 26,712.05
Payments /YBL955ce5617972408aa12ea5224028fa44
UPI/227402406685/Payment from Ph/yashu.yp.345@ib/Axis
01-10-2022 100.00 26,812.05
Bank Ltd./IBL741adc82041a40cfa20645ac9d7ba64c
UPI/227625097731/Payment from Ph/paytmqr28100505/Paytm
03-10-2022 62.00 26,750.05
Payments /IBL6cc1f3f552ca46a0a65ba3b9d9e3fcf3
UPI/227693873284/Payment from Ph/upiswiggy@icici/ICICI
03-10-2022 146.00 26,604.05
Bank/YBLd836a4eaa501454b810998e5f535463d/
NEFT-010464006698-MEDINOVA SUPER SPECIALITY
03-10-2022 1,19,800.00 1,46,404.05
HOSPITAL-SALARYSEPT22-328921010000072-UBIN0932892
03-10-2022 BIL/INFT/000505126907/September Rent / SHEELA BHARAT P 7,000.00 1,39,404.05
03-10-2022 BIL/INFT/000505200982/NA/ MOTHERSON PHARM 26,600.00 1,12,804.05
UPI/264284280959/Payment from Ph/yashpatil311@yb/HDFC
03-10-2022 30,000.00 82,804.05
BANK LTD/YBLef1897f9eb39401fa88f791220e1de8d/
UPI/227619034708/MSEDCL/bdgpay.msedcl@h/HDFC
03-10-2022 720.00 82,084.05
BANKLTD/HDFC3F24EF07BA64F47A133611F4D8E9E67/
UPI/264306110817/Payment from Ph/7387657036rsrs@/Axis
04-10-2022 8,000.00 90,084.05
Bank Ltd./YBL3284ab110fde4cdfbe123858cff03950
UPI/227756234950/Swiggy Order Id/swiggyupi@axisb/Axis Bank
04-10-2022 146.00 89,938.05
Ltd./AXISSDKV34a1084c656434a1db468d07c61/
UPI/264367038918/Payment from Ph/Q735896744@ybl/Yes
04-10-2022 70.00 89,868.05
Bank Ltd/YBL30f0aa0fdc804daa84edf28ca6bbd504/
UPI/264370317567/Payment from Ph/yashu.yp.345@ax/Axis
04-10-2022 134.00 89,734.05
Bank Ltd./AXL34b63afcc67a4625b538bbdec10ae5f1/
UPI/227795630863/Payment from Ph/Bank Account XX/Axis
04-10-2022 8,000.00 81,734.05
Bank Ltd./AXL0b32603aa79a4fe6b8560d382d714100/
UPI/227736313524/raise collect/fcbiznqsiit@fre/Axis Bank
04-10-2022 52,504.00 29,230.05
Ltd./AXIcf234283d6f347e1be832ca18f6a01da/
05-10-2022 LPNASXX40514 OCT22 Yash Yogesh 13,144.00 16,086.05
UPI/264471832422/Payment from Ph/Q745949549@ybl/Yes
05-10-2022 120.00 15,966.05
Bank Ltd/YBL3dc11b5cd74d4fdb918f8a80be7b365a/
UPI/227843013559/Payment from Ph/Q389283892@ybl/ICICI
05-10-2022 740.00 15,226.05
Bank/YBL13d6221670784e58a3582234646b22ff/
UPI/264457828593/Payment from Ph/9096111452@ybl/HDFC
05-10-2022 15,000.00 226.05
BANK LTD/YBL39c5d0b4f2b54d6f9954d39d7b233bab/
Total: 1,27,900.00 2,59,834.00 226.05
 Page 2 of 6 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX4388 in INR for the period October 01, 2022 - October 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/264458467200/Payment from Ph/akshata1199@ybl/Axis
05-10-2022 15,000.00 15,226.05
Bank Ltd./YBL1a6bcff6c6a04b3aada156ceab287324
UPI/227809775416/Payment from Ph/yashu.yp.345@ib/Axis
05-10-2022 1,000.00 16,226.05
Bank Ltd./IBL1f637f4d89874b2e8c5e864f71328f72
UPI/227831973896/Payment from Ph/Q175603014@ybl/Bank of
05-10-2022 2,420.00 13,806.05
Baroda/YBLe556a5695a9e4822867cc482cb80f92f/
UPI/264568163557/Payment from Ph/Q294181087@ybl/Yes
06-10-2022 68.00 13,738.05
Bank Ltd/YBL00cc8fbc431248a497e04e524ec838e0/
UPI/227904485306/Payment from Ph/Q75185803@ybl/Bank of
06-10-2022 90.00 13,648.05
Baroda/YBL50739cce840447a4b9cba51722c54a66/
06-10-2022 NET BANKING INF/INFT/029581347451/MOTHERSON PHARM 69,000.00 82,648.05
UPI/264689245646/Payment from Ph/Q979191391@ybl/Yes
07-10-2022 786.00 81,862.05
Bank Ltd/YBLdee516f36c664965a16d2bda9da269fa/
07-10-2022 ACH/HDFC BANK LIMITED/0000131190691 28,789.00 53,073.05
UPI/228019505539/Swiggy Order Id/swiggyupi@axisb/Axis Bank
07-10-2022 146.00 52,927.05
Ltd./AXISSDKV38f56884764784abb9ddad3aede/
NEFT-KKBKH22280954609-ROHIT RAMESH
07-10-2022 20,000.00 72,927.05
SURYAWANSHI-PAYMENT-4647769047-KKBK0000958
UPI/228004938205/Payment from Ph/paytmqr28100505/Paytm
07-10-2022 150.00 72,777.05
Payments /YBL466292179ee54a20bc4c6132c85a21b0
UPI/264608348040/Payment from Ph/9823878585@ybl/ICICI
07-10-2022 20,000.00 52,777.05
Bank/YBLb6f1c73f521a4ee5912255c980f68e0a/
UPI/264797936815/Payment from Ph/7387162407@ybl/State
08-10-2022 35.00 52,742.05
Bank Of I/YBLb8f5ad0101e7495e8f95bc2b0f570992/
UPI/264739016327/Payment from Ph/EURONET@axl/AxisBank
08-10-2022 241.00 52,501.05
Ltd./AXLae508ee6014546ea814bd31fe4425a71/
UPI/264721879661/Payment from Ph/9823625259@ybl/HDFC
08-10-2022 3,000.00 55,501.05
BANK LTD/YBLa0f6a5ed950a433db86e6c6a3ad7801b
UPI/264789053671/Payment from Ph/virenderpawan@y/HDFC
08-10-2022 30.00 55,471.05
BANK LTD/YBL6583589303654f069593de041961fae5/
UPI/228167207205/BARBEQUENATION/barbequenationh/State
08-10-2022 2,098.00 53,373.05
Bank Of I/SBIAA232F4FFFAC4FC88C715003C1FB1573/
UPI/228121228076/Payment from Ph/Q436194663@ybl/Yes
08-10-2022 100.00 53,273.05
Bank Ltd/IBLa913f7de5f4e4c82989abd30ba514f05/
UPI/228183271140/F07 Credit by P/phonepe-payouts/Yes Bank
08-10-2022 1,000.00 54,273.05
Ltd/YESBE91C11CD05F505CCE05400144FFACDE
UPI/264720936462/Payment from Ph/9225115917@ybl/HDFC
08-10-2022 1,000.00 53,273.05
BANK LTD/YBL543ae3ef188a4550b82f73ea8200bacd/
UPI/228101585730/Payment from Ph/dominospizzaonl/Paytm
08-10-2022 494.00 52,779.05
Payments /PYTM20221008439967723756/
UPI/264847559797/Payment from Ph/Q735896744@ybl/Yes
10-10-2022 70.00 52,709.05
Bank Ltd/YBLdebe09a206894caab7c7c35e95cdb05f/
UPI/264981955539/Payment from Ph/Q738752536@ybl/Yes
10-10-2022 120.00 52,589.05
Bank Ltd/YBL521a0b9742384d5ba1aa64d2f2f7951e/
UPI/228309494889/Payment from Ph/7387657036rsrs@/Axis
10-10-2022 25.00 52,564.05
Bank Ltd./IBL67bfae957bab4f6880dda558ca989226/
UPI/228308626011/Payment from Ph/7387657036rsrs@/Axis
10-10-2022 15.00 52,549.05
Bank Ltd./IBLc96dc0e98b3746f7aa53779c758177dc/
UPI/228301789781/Payment from Ph/Q774810884@ybl/HDFC
10-10-2022 20.00 52,529.05
BANK LTD/YBL3bdf0674c1da40aea2313721f9cc7019/
UPI/228333998962/Payment from Ph/7387657036rsrs@/Axis
10-10-2022 70.00 52,459.05
Bank Ltd./IBL3d40e0789d69477c88c2f7479f84bfcc/
UPI/228474758921/Payment from Ph/7387657036rsrs@/Axis
11-10-2022 700.00 51,759.05
Bank Ltd./IBL2827a6c2c4674a78b3d5834494d805ec/
UPI/265030914190/Payment from Ph/wasim.sayyed927/HDFC
11-10-2022 3,500.00 48,259.05
BANK LTD/YBLeee2ca27fa4642c7b31558c0284a3b12/
UPI/265099744788/Payment from Ph/Q91391427@ybl/Yes Bank
11-10-2022 1,000.00 47,259.05
Ltd/YBLfff180cf9ba649f7b409d859b4d66d49/
UPI/228422133956/UPI/paytmqr28100505/Paytm Payments
11-10-2022 76.00 47,183.05
/AXI35d08e8422a645c48bb2e37ac7b8c9f8/
UPI/265146372128/Payment from Ph/yashpatil311@yb/HDFC
12-10-2022 25,000.00 72,183.05
BANK LTD/YBLb3bfcf6ea88c43c18d3b8da49623ae66
UPI/228510981299/Payment from Ai/airtel121@hdfcb/HDFC
12-10-2022 1,241.12 70,941.93
BANK LTD/APBd192d5ead0234fdb8120416242992741/
UPI/265183638955/Payment from Ph/7387657036rsrs@/Axis
12-10-2022 300.00 70,641.93
Bank Ltd./YBL4b69ac0325d4494cb7338607530c3668/
UPI/228510692137/mobilerecharge/newlifepharma@u/Union
12-10-2022 413.00 71,054.93
Bank of I/UOBf99ed159abfb4c42b17c839601ba8278
12-10-2022 NET BANKING INF/INFT/029657872541/MOTHERSON PHARM 1,50,000.00 2,21,054.93
UPI/265110224622/Payment from Ph/7387657036rsrs@/Axis
12-10-2022 15,000.00 2,06,054.93
Bank Ltd./YBLa0518cc6ff6b4b04976ccd8c5ce7ec78/
UPI/265148981912/Payment from Ph/yashpatil311@yb/HDFC
12-10-2022 50,000.00 1,56,054.93
BANK LTD/YBL73a08f21f67f4679820f326c54ebfb02/
MMT/IMPS/228520677126/NA/Yash
12-10-2022 MOBILE BANKING 1,005.90 1,55,049.03
Yoges/HDFC0009449/chgRs5.00GSTRs0.90
UPI/228537042721/SBICARD/billdeskpg.sbic/HDFC BANK
12-10-2022 22,440.00 1,32,609.03
LTD/HDF68F22749E44343FD8D0A9A0062684786/
Total: 2,84,413.00 1,52,030.02 1,32,609.03
 Page 3 of 6 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX4388 in INR for the period October 01, 2022 - October 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/265177181380/Payment from Ph/9823267825@ybl/State
12-10-2022 22,450.00 1,55,059.03
Bank Of I/YBLbfac83cca7f5485a8c7cfbc8285b883e
12-10-2022 BIL/NEFT/000512650517/NA/Yash Yoges/HDFC0009449 1,50,000.00 5,059.03
UPI/228502696190/UPI
12-10-2022 Payment/q03002464@ybl//ICIb07ab72695ae425e875160609ca39 824.00 4,235.03
7f6/
UPI/265262192386/Payment from Ph/9028134104@ybl/State
13-10-2022 1,220.00 3,015.03
Bank Of I/YBL86627a9265a34c9196c56c58a7c453a4/
UPI/228638679748/MSEDCL/bdgpay.msedcl@h/HDFC
13-10-2022 840.00 2,175.03
BANKLTD/HDFCF57173366AD4AC1A5504A96FB251C6C/
NEFT-AXMB222877726519-ROHIT RAMESH
14-10-2022 71,000.00 73,175.03
SURYAWANSHI--921010048084177-UTIB0003847
UPI/265345281171/Dettol soap D m/rohitsuryawansh/Axis Bank
14-10-2022 139.00 73,314.03
Ltd./AXL45f3709528474a8f89748e92e6ddb6d4
UPI/265362413546/Payment from Ph/rohitsuryawansh/Axis Bank
14-10-2022 406.00 73,720.03
Ltd./AXL39295b8c62d94da38af20a5e7a352094
UPI/228731669053/Payment from Ph/paytmqr28100505/Paytm
14-10-2022 60.00 73,660.03
Payments /AXL8eb67983c6d345bab6d1b5241983935b
UPI/265488240798/Payment from Ph/yashu.yp.345@ax/Axis
15-10-2022 4,500.00 69,160.03
Bank Ltd./AXL77fac467af2d425f9600a0d5100108e1/
15-10-2022 NET BANKING BIL/000514472952/ICICI BANK CREDIT CA/431581156970 8,000.00 61,160.03
15-10-2022 BIL/INFT/000514607909/NA/ MOTHERSON PHARM 20,000.00 41,160.03
UPI/228880959242/Payment from Ph/9860413349@axl/IDBI
15-10-2022 500.00 40,660.03
Bank Limit/AXL1bc5bd2ada8349b18f9f5a0eb6421d69/
UPI/228888476315/Payment from Ph/dominospizzaonl/Paytm
15-10-2022 369.00 40,291.03
Payments /PYTM20221015385306869841/
UPI/228871571629/Payment from Ph/7391820007@ybl/The
15-10-2022 370.00 40,661.03
Cosmos Co-O/YBLe7f834a5907e421d92584d5fdd28988a
UPI/228875288053/Payment from Ph/7387657036rsrs@/Axis
15-10-2022 65.00 40,596.03
Bank Ltd./IBLda00bb254550407cb41beb41caac6145/
UPI/228908328249/Payment from Ai/airtel121@hdfcb/HDFC
17-10-2022 589.00 40,007.03
BANK LTD/APB0123f0190c2f4acea4706516450f9e6f/
UPI/228982062646/Payment from Ph/9403592500@ybl/Kotak
17-10-2022 100.00 40,107.03
Mahindra /YBL075b743d25564369a665457cb6b54bdc
UPI/265604449461/Payment from Ph/rohitsuryawansh/Axis Bank
17-10-2022 15,000.00 55,107.03
Ltd./AXL792574d786894185862d9cfe5036d5dc
UPI/265668155272/Payment from Ph/rohitsuryawansh/Axis Bank
17-10-2022 970.00 56,077.03
Ltd./AXLbec8e32e994f4d10b7ba30d08da5ab53
UPI/265798208226/Payment from Ph/rohitsuryawansh/Axis Bank
18-10-2022 1,310.00 57,387.03
Ltd./AXLacfbe80894da47aca5faba6380419d6d
UPI/265770484905/Payment from Ph/rohitsuryawansh/Axis Bank
18-10-2022 1,451.00 58,838.03
Ltd./AXL155cfc0edb9a4a9f8097bfdffcd0016e
18-10-2022 BIL/NEFT/000516667111/NA/Yash Yoges/HDFC0009449 58,000.00 838.03
18-10-2022 NET BANKING INF/INFT/029736747441/MOTHERSON PHARM 17,000.00 17,838.03
UPI/229116363861/Payment from Ph/gpay-1117484371/Axis
18-10-2022 25.00 17,813.03
Bank Ltd./AXL1870a7ddcfdb43a18706edcda371d592/
MMT/IMPS/229120199074/NA/Yash
18-10-2022 MOBILE BANKING 7,805.90 10,007.13
Yoges/HDFC0009449/chgRs5.00GSTRs0.90
UPI/229194147050/Payment from Ph/gpay-1117484371/Axis
18-10-2022 25.00 9,982.13
Bank Ltd./YBLdd44d92521874ddc8f365471eec5945b/
UPI/265789825906/Payment from Ph/yash31.yp@axl/ICICI
18-10-2022 5,000.00 4,982.13
Bank/AXLd174131125f14643b42cc9d268adf481/
UPI/229223524851/UPI/paytmqr28100505/Paytm Payments
19-10-2022 92.00 4,890.13
/AXI62c23bbc6b6c484fabda19c1e5ddd43f/
UPI/229230655814/UPI/dmartwest.innov/ICICI
19-10-2022 3,115.00 1,775.13
Bank/AXIbf4b38f87c7f43d79456aa09a4fa6ba5/
UPI/265808234264/Payment from Ph/rohitsuryawansh/Axis Bank
19-10-2022 76.00 1,699.13
Ltd./AXLed89591f72de498daf741e3e21c2521d/
UPI/229234249330/UPI/AMZN0002848978@/HDFC BANK
19-10-2022 102.00 1,597.13
LTD/AXId38218a91b8e4aff98996c006abe3e8f/
UPI/265886682050/Payment from Ph/BBPSBP@axl/Axis Bank
19-10-2022 1,056.50 540.63
Ltd./AXL7e059dffd87a4b1abaae69bde8b6a6c1/
UPI/229370835614/Payment from Ph/9673307434@ybl/Bank of
20-10-2022 600.00 1,140.63
Baroda/YBL0b47523d914f410daf49a0e88de136c8
UPI/229348650485/UPI/paytmqr28100505/Paytm Payments
20-10-2022 195.00 945.63
/AXI631e4e6e84c0470ca42e348faa4ae5ab/
UPI/265910311333/Payment from Ph/Q409073763@ybl/Yes
20-10-2022 35.00 910.63
Bank Ltd/YBL1d2f15f169c843ffbb94d6ef5b94efa6/
UPI/265937645438/Payment from Ph/Q412379864@ybl/Yes
20-10-2022 195.00 715.63
Bank Ltd/YBL4a854526f02c486f916656803832e961/
UPI/229395759282/Payment from Ph/dilipnitin7@ybl/Bank of
20-10-2022 60.00 775.63
Baroda/YBL593e876251834997a52fecddf147fabb
UPI/229358305409/UPI/Q281010209@ybl/South Indian
20-10-2022 280.00 495.63
Ba/AXI7ed10ba280024762baa335bff6ac6c28/
20-10-2022 NET BANKING INF/INFT/029768474331/MOTHERSON PHARM 24,000.00 24,495.63
UPI/266003869654/Payment from Ph/yash31.yp@axl/ICICI
21-10-2022 6,000.00 18,495.63
Bank/AXL6be149ce98ed48c8a3755451737ce07b/
Total: 1,54,856.00 2,68,969.40 18,495.63
 Page 4 of 6 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX4388 in INR for the period October 01, 2022 - October 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/266087073504/Payment from Ph/rohitsuryawansh/Axis Bank
21-10-2022 120.00 18,375.63
Ltd./AXL2670c4f199d049f79e75baa027d421bd/
21-10-2022 NET BANKING INF/INFT/029782940321/MOTHERSON PHARM 42,000.00 60,375.63
UPI/229454036173/SBICARD/billdeskpg.sbic/HDFC BANK
21-10-2022 51,000.00 9,375.63
LTD/HDF15C0B2478951416080FEF56BC0AF4BA6/
UPI/229480976640/UPI/Q135057806@ybl/Yes Bank
21-10-2022 10.00 9,365.63
Ltd/AXI328d3ede702c458084bcc4fcdb7ea813/
UPI/229472941892/Payment from Ph/paytm-69103956@/Paytm
21-10-2022 260.00 9,105.63
Payments /YBLa1a2791f34f540b69aab699011a39941
UPI/229458961880/Payment from Ph/paytm-69103956@/Paytm
21-10-2022 2,500.00 6,605.63
Payments /AXL5c0cbafa4524419fa85cd376e1419b45
UPI/229471359484/Payment from Ph/Q578325110@ybl/Axis
21-10-2022 3,600.00 3,005.63
Bank Ltd./YBL0e5cc78d08b74623979e0925fe1a8689/
UPI/229510189871/DiwaliShopHar/newlifepharma@u/Union
22-10-2022 1,800.00 4,805.63
Bank of I/UOB63eb4b63cef64fd38bd7d92951be9ebc
UPI/229566419816/Payment from Ph/rangnathdnyanes/Indian
22-10-2022 300.00 4,505.63
Bank/IBL9f5a51fb095347ce9cbb8b01daa722a7/
UPI/229535868133/Payment from Ph/9373413733@ybl/Central
22-10-2022 200.00 4,305.63
Bank Of/YBLb6274aa72d4b441c911a7833e86bdbb3/
UPI/229517492793/UPI/kishorrenuke@ib/Bank of
22-10-2022 1,000.00 3,305.63
Baroda/AXIf8aa5cd82f7a465b807ac7d39e50eab2/
UPI/229586147161/Debit Money Usi/swiggy@yespay/Yes Bank
22-10-2022 162.00 3,143.63
Ltd/YJP7aa01f5f032242ac894884ec2100e07c/
UPI/266247220761/Payment from Ph/Q379038244@ybl/Yes
24-10-2022 230.00 2,913.63
Bank Ltd/YBLd1c1a5f7d8de4208a15281a0f9f1bf38/
UPI/229602917965/Payment from Ph/dominospizzaonl/Paytm
24-10-2022 759.00 2,154.63
Payments /PYTM20221023373696186497/
UPI/229646561845/Payment from Ph/7030040817@ybl/Canara
24-10-2022 60.00 2,094.63
Bank/AXL43cdc438012945d986c91635dde6b631/
UPI/229668126845/Payment from Ph/7391820007@ybl/The
24-10-2022 759.00 2,853.63
Cosmos Co-O/YBL1132f957a5c74b3fb34be44aa2d900e0
UPI/229679531817/Payment from Ph/9422766741@upi/Punjab
24-10-2022 1,690.00 1,163.63
National/YBL5701f31bd5984dd99b5afc924a77c8b8/
UPI/266362492180/Payment from Ph/Q655083185@ybl/Yes
24-10-2022 10.00 1,153.63
Bank Ltd/AXLc09f840c17bc4ed385de244f16dad9d5/
UPI/266324572991/Payment from Ph/Q875927997@ybl/Yes
24-10-2022 35.00 1,118.63
Bank Ltd/YBLac29ebd248e1482c9dbf0ad12bf7d096/
UPI/266352203301/Payment from Ph/rohitsuryawansh/Axis Bank
24-10-2022 30.00 1,088.63
Ltd./AXL5b2098e76dbf441fa8fe1b4d35282827/
UPI/229711364327/YashProfit/newlifepharma@u/UnionBank of
24-10-2022 1,381.00 2,469.63
I/UOBedfc5d9771d749b19a0b25af13cad708
24-10-2022 NET BANKING INF/INFT/029808378861/MOTHERSON PHARM 13,000.00 15,469.63
UPI/266306841048/Payment from Ph/yashpatil311@yb/HDFC
24-10-2022 5,000.00 10,469.63
BANK LTD/YBL8395453a85504037a408193b8e3dc74e/
UPI/266318775456/Payment from Ph/ashokrohit8@ybl/HDFC
24-10-2022 1,000.00 9,469.63
BANK LTD/YBL52eedf5efead45deba2156b76ea31d74/
UPI/229725406508/Payment from Ph/paytmqr28100505/Paytm
24-10-2022 50.00 9,419.63
Payments /YBLf6a664f2ad7a4569a7d2bfb855970614
UPI/266315182371/Payment from Ph/Q073913794@ybl/Yes
24-10-2022 10.00 9,409.63
Bank Ltd/YBLdfac13d99d704d61bda4ca7e8579f8ef/
UPI/266413560859/Payment for 500/WELLNESSFOREVER/Yes
25-10-2022 89.99 9,319.64
Bank Ltd/YBL9b93b7cdfb9d46c1a5d244fabd80bcde/
UPI/266489764889/Payment for 7c6/OLAONLINE@axl/Axis Bank
25-10-2022 40.00 9,279.64
Ltd./AXLcf9ae2275606457d91a2a61f60d1ad27/
UPI/229816683521/R02 PhonePe Rev/phonepemerchant/Yes
25-10-2022 7.00 9,286.64
Bank Ltd/YESBEB18685532DF05DDE05400144FF9DBF
UPI/229893111652/Payment from Ph/upiswiggy@icici/ICICI
25-10-2022 247.00 9,039.64
Bank/YBL8054878927a64e64b8edcc46978cd2ef/
UPI/266471970410/Payment for cb3/OLAONLINE@axl/Axis Bank
25-10-2022 37.00 9,002.64
Ltd./AXL412e99d11fcc43d6ba589128a9189db6/
UPI/229817113779/R02 PhonePe Rev/phonepemerchant/Yes
25-10-2022 5.00 9,007.64
Bank Ltd/YESBEB97FBA317691BE1E05400144FFACDE
UPI/266473435787/Payment from Ph/wasim.sayyed927/HDFC
25-10-2022 2,500.00 6,507.64
BANK LTD/AXL6ad2887663ba494e967cc0ee543529d6/
UPI/266443271293/Payment for 173/MCDONALDS@ybl/Yes
25-10-2022 509.00 5,998.64
Bank Ltd/YBLd2c0a0b7b47d42f8872b0da297337a5c/
UPI/229845307085/Payment from Ph/paytmqr28100505/Paytm
25-10-2022 40.00 5,958.64
Payments /YBL9f9c4976a03e40cbb9ba764563c69491
UPI/266433273622/Payment for 500/WELLNESSFOREVER/Yes
25-10-2022 151.99 5,806.65
Bank Ltd/AXL9dd76d79c2da450e8759e3a4a28710f1/
UPI/229989713732/Payment from Ph/8207528001@ybl/Bank of
26-10-2022 50.00 5,756.65
Baroda/IBL188d017be4e34d6ab7c978d3cc1fdb19/
UPI/266528897814/Payment from Ph/Q655083185@ybl/Yes
26-10-2022 15.00 5,741.65
Bank Ltd/YBL72c054c61b8b44758fe8b002fd3bbb31/
UPI/266796667733/Payment from Ph/8087553088@ybl/HDFC
28-10-2022 2,200.00 3,541.65
BANK LTD/YBL046b18c6511a41b58e3f8295acd72fb9/
UPI/230146882414/Payment from Ph/paytmqr28100505/Paytm
28-10-2022 20.00 3,521.65
Payments /YBLdfceda77b2e14a1d98d207fb6ab693da
Total: 58,952.00 73,925.98 3,521.65
 Page 5 of 6 M-76543125-1

Statement of Transactions in Savings Account XXXXXXXX4388 in INR for the period October 01, 2022 - October 31, 2022

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/230125818167/Payment from Ph/Q731287338@ybl/Bank of
28-10-2022 10.00 3,511.65
India/IBL008170a050a24cdf8d9daa6157ab477f/
UPI/230274214461/UPI/paytmqr28100505/Paytm Payments
29-10-2022 20.00 3,491.65
/AXI3bfa01a164324f92ab9d792cc13fc8c6/
UPI/230211418031/Payment from Ai/airtelcommonpoo/Airtel
29-10-2022 589.00 2,902.65
Payments/APB081962db81124e10a0d69e7a060a72cf
UPI/266865806923/Payment from Ph/Q462311878@ybl/Yes
29-10-2022 745.00 2,157.65
Bank Ltd/YBLca31c829309d4dc4bb86e3d0d8dacc27/
UPI/230241174162/Payment from Ph/7391820007@ybl/The
29-10-2022 210.00 2,367.65
Cosmos Co-O/YBL993cd9c57322453cba6b22f7939f4733
UPI/266855509025/Payment from Ph/yashu.yp.345@ax/Axis
29-10-2022 210.00 2,157.65
Bank Ltd./AXL5a2b2f9966e64f6d9c35a32b376ee8be/
UPI/266840679159/Payment from Ph/yashu.yp.345@ax/Axis
29-10-2022 194.00 1,963.65
Bank Ltd./AXL7e01f330b1b54af68c06155f225682b0/
UPI/230243191300/Payment from Ph/paytmqr28100505/Paytm
29-10-2022 62.00 1,901.65
Payments /YBLe957cdb6725c40528881fb45a933a453
UPI/230291035092/UPI/paytmqr28100505/Paytm Payments
29-10-2022 55.00 1,846.65
/AXI6d57a3fc0907439daa58d4ee448c17a3/
UPI/230224522365/F07 Credit by P/phonepe-payouts/Yes Bank
29-10-2022 50,000.00 51,846.65
Ltd/YESBEB9AE345DA513F18E05400144FF9DBF
29-10-2022 BIL/INFT/000523827423/NA/ MOTHERSON PHARM 50,000.00 1,846.65
UPI/266803975499/Payment from Ph/yashpatil311@yb/HDFC
29-10-2022 9,000.00 10,846.65
BANK LTD/YBLc1e8d268c2af483b98396f306dab5859
UPI/230335393805/Payment from Ph/gpay-1119665078/Axis
31-10-2022 50.00 10,796.65
Bank Ltd./YBLbc4f7899ccf94f10a99e99899f83c988/
UPI/230434004258/Payment from Ph/yashpatil311@yb/HDFC
31-10-2022 1,00,000.00 1,10,796.65
BANK LTD/YBLb49f81fe460e462ca2bff36742069fd2
UPI/230427283096/F07 Credit by P/phonepe-payouts/Yes Bank
31-10-2022 90,000.00 2,00,796.65
Ltd/YESBEB21D4990D3805B0E05400144FF9DBF
31-10-2022 BIL/INFT/000525120672/NA/ MOTHERSON PHARM 2,00,000.00 796.65
UPI/230427322798/F07 Credit by P/phonepe-payouts/Yes Bank
31-10-2022 50,000.00 50,796.65
Ltd/YESBEB1BB65FC24405C6E05400144FF9DBF
UPI/230427326845/F07 Credit by P/phonepe-payouts/Yes Bank
31-10-2022 40,000.00 90,796.65
Ltd/YESBEB9162ADA82F3F4BE05400144FF9DBF
31-10-2022 BIL/INFT/000525126031/NA/ MOTHERSON PHARM 90,000.00 796.65
UPI/267033425883/Payment from Ph/akshata1199@ybl/Axis
31-10-2022 10,000.00 10,796.65
Bank Ltd./YBLa476c297daa64cd8924e400b74c22703
31-10-2022 BIL/INFT/000525130135/NA/ MOTHERSON PHARM 10,000.00 796.65
NEFT-010471885197-MEDINOVA SUPER SPECIALITY
31-10-2022 1,07,800.00 1,08,596.65
HOSPITAL-SALARYOCT22-328921010000072-UBIN0932892
UPI/230448900119/UPI/paytmqr28100505/Paytm Payments
31-10-2022 72.00 1,08,524.65
/AXIb2ceddcab0a64afba105f66cc5c9ae5e/
Total: 4,57,010.00 3,52,007.00 1,08,524.65

Summary of TDS/Interest on Fixed Deposits during the period October 01, 2022 - October 31, 2022

DATE OF
ACCOUNT INTEREST PAID/ TAX DEDUCTED
PAYMENT/
NUMBER CREDITED (INR) (INR)
CREDIT
Opening Balance (Cumulative) 403.00 0.00
Closing Balance (Cumulative) 403.00 0.00

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings XXXXXXXX4388 422229017 ICIC0001873 -

* Nominee name is displayed only on specific consent of customer.

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
EBA-Transaction at ICICIDirect BIL - Internet bill payment or funds transfer to third party
ICICI Bank Limited 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 6 of 6 M-76543125-1

l There is a revision in the service charge for domestic Savings Accounts w.e.f. Feb 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