2019 M12

Page 1 of 2 M-87654321-1
002964/87654321-1/1-2/RESGB/01-29
Your Base Branch : GREATER KAILASH NEW DELHI
BRANCH, W-57.GREATER KAILASH PART-I 110048
MR.ABHIJIT BARMAN
VILL-CHENTEL GOTA NAGAR,P.S.- JALUKBARI, : Visit www.icicibank.com
DIST-KAMRUP,RAILWAY KALANI
GUWAHATI
Å Dial your Bank 1860 120 7777
ASSAM - INDIA - 781033
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 : XXXXX4817 as on December 31, 2019
ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX2234 81.49 0.00 81.49 Not Registered
TOTAL 81.49 0.00 81.49
Statement of Transactions in Savings Account XXXXXXXX2234 in INR for the period December 01, 2019 - December 31, 2019
DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-12-2019 B/F 0.49
02-12-2019 BIL/INFT/001860144389/Friends/ BIPLAB KUMAR SA 1,000.00 1,000.49
02-12-2019 DEBIT CARD VPS/NATH MEDICA/201912022141/933616514369/NEW DELHI 240.00 760.49
07-12-2019 BIL/INFT/001866230388/Friends/ BIPLAB KUMAR SA 1,000.00 1,000.49
13-12-2019 DEBIT CARD VPS/MAJESTY MED/201912131625/934710575568/New Delhi 240.00 0.49
20-12-2019 BIL/INFT/001875561593/mama/ BIPUL GOHAIN 25,000.00 25,000.49
20-12-2019 MOBILE BANKING MMT/IMPS/935417157358/Rent/JASMINE KA/CNRB0001768 14,000.00 11,000.49
BIL/ONL/001875615043/BSES
20-12-2019 3,450.00 7,550.49
Rajdh/BSESRAJDHANI_RI/Electricity pay
20-12-2019 DEBIT CARD VPS/NATH MEDICA/201912201907/935413561087/NEW DELHI 260.00 7,290.49
20-12-2019 OTHER ATMS NFS/MN003138/CASH WDL/20-12-19 1,000.00 6,290.49
21-12-2019 ICICI ATM ATM/S1CNC106/CASH WDL/21-12-19 500.00 5,660.49
23-12-2019 NET BANKING VIN/PAYTM /201912221504/935609578761/ 500.00 4,900.49
23-12-2019 DEBIT CARD VPS/MSW SHARMA /201912230042/935619756666/Delhi NCR 260.00 4,640.49
23-12-2019 ICICI ATM ATM/SPCNR460/CASH WDL/23-12-19 500.00 4,140.49
24-12-2019 DEBIT CARD VPS/MSW SHARMA /201912242254/935817261229/Delhi NCR 130.00 3,490.49
24-12-2019 ICICI ATM ATM/SPCNR460/CASH WDL/24-12-19 500.00 2,990.49
26-12-2019 NET BANKING VIN/PAYTM /201912251839/935913323260/ 400.00 2,590.49
27-12-2019 OTHER ATMS NFS/17036016/CASH WDL/27-12-19 500.00 1,310.49
30-12-2019 NET BANKING IIN/I-Debit/PayTM /201912281050/936202004644/ 500.00 810.49
VPS/PAYMNT RVSL/NATH
30-12-2019 DEBIT CARD 260.00 290.49
MEDICA/201912302109/936415565514/
Total: 27,260.00 26,970.00 290.49
Page 2 of 2 M-87654321-1
Statement of Transactions in Savings Account XXXXXXXX2234 in INR for the period December 01, 2019 - December 31, 2019
DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

31-12-2019 002901572234:Int.Pd:30-09-2019 to 30-12-2019 51.00 81.49
Total: 51.00 260.00 81.49
REWARD POINTS SUMMARY
SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of November, 2019
POINTS BALANCE*
NUMBER NUMBER My Savings REWARD DEBIT CARD
XXXXXXXX2234 XXXXXXXXXXXX6303 0 31 189
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on December 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 XXXXXXXX2234 110229004 ICIC0000029 -
* 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.
l Do not fall prey to fictitious offers of winning prizes, money circulation schemes and cheap l There is a revision in the terms & conditions of your complimentary air accident insurance,
funds, etc. through SMS, e-mails and calls. personal accident insurance & purchase protection. It is linked to your bank account. For details,
l With effect from Dec 15, 2019, there is a revision in limits of Cash Transactions and please visit www.icicibank.com .
associated charges. For details, please visit www.icicibank.com/notice-board.page l As per prevailing guidelines of the Income tax Act, 1961, if a valid PAN is not provided by the
l Bank’s Code of Commitment to Customers and Micro and Small Enterprises (MSE): Please customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
visit www.icicibank.com > About Us > Notice Board > Code of Commitment. The code l In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
has been framed in line with the guidelines provided by Banking Codes and Standards l In case your PAN is not updated in our record, please visit the nearest branch and provide a
Board of India (BCSBI). copy of the PAN card, along with the original PAN card for verification.
l As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be l The address of the customer in Form 16A will be the last updated address in the data base of the
generated through the Income tax website for which the PAN of the customer needs to be income tax department.
necessarily updated in Bank's record.
l As per PMJJY, debit of Rs 289 is towards insurance premium collected on behalf of ICICI
l Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation Prudential & Rs 41 is towards administration charges by ICICI Bank (including Goods and
(DICGC) up to a maximum of Rs. 1 lakh, for both principal and interest amount held by him Services Tax (GST)). For details, refer Terms and Conditions at www.icicibank.com
in the same right and same capacity.
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

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Page 1 of 2 M-87654321-1

STATEMENT SUMMARY for Customer ID : XXXXX4817 as on December 31, 2019

ACCOUNT DETAILS - INR

TOTAL 81.49 0.00 81.49

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

REWARD POINTS SUMMARY

Account Related Other Information

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

Sincerely, Legends for transactions in your account statement

This is a system-generated statement. Hence, it does not require any signature.

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