Page 1 of 3 M-258541

007549/258541/1-3/RESGB/11-19
Your Base Branch : S.R.NAGAR,HYDERABAD BRANCH,
7-1-621 B1-B6 GR FL00R AMIR CHAMBERS MAIN ROAD
SANJEEVA REDDY NAGAR 500038
MR.BUDDHA PHANI VARDHAN
H NO 16-7-47 GAVARAPALEM POLIMEERA STREET
ANAKAPALLI : Visit www.icicibank.com
VISHAKHAPATNAM
ANDHRAPRADESH - INDIA - 531002 Å Dial your Bank 1860 120 7777

NEVER SHARE your Card number, CVV, PIN, OTP, Internet Banking User ID or Password with anyone, even if the person claims to be a
bank employee. Sharing these details can lead to unauthorised access to your account.

STATEMENT SUMMARY for Customer ID : XXXXX8614 as on October 31, 2019

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX7273 46,377.36 0.00 46,377.36 Registered

TOTAL 46,377.36 0.00 46,377.36

Statement of Transactions in Savings Account XXXXXXXX7273 in INR for the period October 01, 2019 - October 31, 2019

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-10-2019 B/F 62,024.68
01-10-2019 OTHER ATMS NFS/DCB29601/CASH WDL/01-10-19 200.00 61,824.68
04-10-2019 UPI/927715873225/Soks/8143392416@ybl/Andhra Bank 80.00 61,744.68
04-10-2019 OTHER ATMS NFS/N8046200/CASH WDL/04-10-19 500.00 61,244.68
05-10-2019 NET BANKING BIL/001816226343/SIPG/818787422994 1,139.00 60,105.68
07-10-2019 OTHER ATMS NFS/DCB29601/CASH WDL/06-10-19 500.00 59,605.68
07-10-2019 OTHER ATMS NFS/DCB29601/CASH WDL/06-10-19 500.00 59,105.68
08-10-2019 UPI/928116442501/UPI/rama.naidup89@o/State Bank Of 600.00 58,505.68
I/
09-10-2019 UPI/928240846816/Oid9414591541@O/payair7673@payt/P 23.00 58,482.68
aytm Payments/
09-10-2019 UPI/928216219826/UPI/add-money@paytm/Paytm Payment 30.00 58,452.68
s/
09-10-2019 UPI/928240103637/express/payair7673@payt/Paytm Pay 23.00 58,475.68
ments
11-10-2019 UPI/928419461430/Verified Mercha/bharatpe.910004/I 150.00 58,325.68
CICI Bank/
14-10-2019 OTHER ATMS NFS/DCB29601/CASH WDL/12-10-19/Fee Rs20.00 GST Rs3 223.60 58,102.08
.60
15-10-2019 UPI/928835175577/Oid9456146059@O/add-money@paytm/P 675.00 57,427.08
aytm Payments/
15-10-2019 BIL/ONL/001824247225/State Bank/SBICARD_RICI809/cr 5,454.00 51,973.08
edit card bil
16-10-2019 UPI/928913965135/Phani/durgapdu88@oksb/State Bank 670.00 52,643.08
Of I
16-10-2019 NET BANKING VIN/REDBUS /201910161433/928909646266/ 881.92 51,761.16
16-10-2019 UPI/928916268109/Flip/polamarasettysr/ICICI Bank 531.00 51,230.16
17-10-2019 UPI/929010122854/UPI/sriharig6778-1@/HDFC BANK LTD 1,800.00 49,430.16
17-10-2019 UPI/929034847640/Oid9470960777@O/add-money@paytm/P 300.00 49,130.16
aytm Payments/
21-10-2019 DEBIT CARD VPS/MEHFIL REST/201910202013/929314162806/HYDERABA 299.00 48,831.16
D
21-10-2019 UPI/929344973102/Oid9497071068@O/add-money@paytm/P 50.00 48,781.16
aytm Payments/
21-10-2019 UPI/929320848410/Biryani/goli.moulika@ok/Andhra Ba 125.00 48,906.16
nk
21-10-2019 UPI/929363056952/Payment from Ph/paytmqr28100505/P 65.00 48,841.16
aytm Payments/
22-10-2019 UPI/929513484718/Amount to pay/jio@citibank/Citiba 458.00 48,383.16
Total: 818.00 14,459.52 48,383.16
 Page 2 of 3 M-258541

Statement of Transactions in Savings Account XXXXXXXX7273 in INR for the period October 01, 2019 - October 31, 2019

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

nk/
22-10-2019 UPI/929520480259/UPI/hmaresther3@oks/State Bank Of 151.00 48,232.16
I/
22-10-2019 UPI/929584618072/Payment from Ph/9392436683@ybl/An 10.00 48,222.16
dhra Bank/
23-10-2019 UPI/929613322984/UPI/skaterprashanth/State Bank Of 161.00 48,061.16
I/
23-10-2019 OTHER ATMS NFS/S1ACHD43/CASH WDL/23-10-19/Fee Rs20.00 GST Rs3 223.60 47,837.56
.60
23-10-2019 OTHER ATMS NFS/S1ACHD43/CASH WDL RVSL/23-10-19 223.60 48,061.16
23-10-2019 OTHER ATMS NFS/S1ACHD43/CASH WDL/23-10-19/Fee Rs20.00 GST Rs3 223.60 47,837.56
.60
23-10-2019 UPI/929663593202/Payment from Ph/9392436683@ybl/An 60.00 47,777.56
dhra Bank/
25-10-2019 UPI/929813319609/Amount to pay/jio@citibank/Citiba 51.00 47,726.56
nk/
25-10-2019 UPI/929839847335/Oid9532983403@O/add-money@paytm/P 22.00 47,704.56
aytm Payments/
28-10-2019 DEBIT CARD VPS/MORE /201910271326/930007434846/ANAKAPAL 467.00 47,237.56
L
28-10-2019 OTHER ATMS NFS/DCB29601/CASH WDL/28-10-19/Fee Rs20.00 GST Rs3 223.60 47,013.96
.60
28-10-2019 UPI/930120255521/Payment from Ph/Q95987070@ybl/Sta 69.00 46,944.96
te Bank Of I/
28-10-2019 UPI/930140633296/Verified Mercha/BHARATPE.910047/I 44.00 46,900.96
CICI Bank/
29-10-2019 OTHER ATMS NFS/WVIS0770/CASH WDL/29-10-19/Fee Rs20.00 GST Rs3 523.60 46,377.36
.60
TOTAL Total: 223.60 2,229.40 46,377.36

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of September, 2019
POINTS BALANCE*
NUMBER NUMBER
My Savings REWARD DEBIT CARD
XXXXXXXX7273 XXXXXXXXXXXX6000 0 60 570
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on October 20, 2019, includes points earned through other PAYBACK partners
Points earned for the month will reflect with a lag of upto 50 days in the point balance.

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings XXXXXXXX7273 500229006 ICIC0000075 -
* Nominee name is displayed only on specific consent of customer.
 Page 3 of 3 M-258541

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
ICICI Bank Limited 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.

• Bank’s Code of Commitment to Customers and Micro and Small Enterprises (MSE): Please
visit www.icicibank.com > About Us > Notice Board > Code of Commitment. The code
has been framed in line with the guidelines provided by Banking Codes and Standards
Board of India (BCSBI).
• As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be
generated through the Income tax website for which the PAN of the customer needs to be
necessarily updated in Bank's record.
• Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation
(DICGC) up to a maximum of Rs. 1 lakh, for both principal and interest amount held by him
in the same right and same capacity.
• As per prevailing guidelines of the Income tax Act, 1961, if a valid PAN is not provided by the
customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
• In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
• In case your PAN is not updated in our record, please visit the nearest branch and provide a
copy of the PAN card, along with the original PAN card for verification.
• The address of the customer in Form 16A will be the last updated address in the data base of
the income tax department.
• As per PMJJY, debit of Rs 289 is towards insurance premium collected on behalf of ICICI
Prudential & Rs 41 is towards administration charges by ICICI Bank (including Goods and
Services Tax (GST)). For details, refer Terms and Conditions 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 discrepancy in the statement.
ROG_SR168104445_DB_SS_30042021