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MHW1/181D/1-1/WBF-M/03-12
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Summary of Accounts held under Cust ID: 565318246 as on July 13, 2020
ACCOUNT DETAILS - INR
ACCOUNT TYPE A/c BALANCE(I) FIXED DEPOSITS (LINKED) BAL.(II) TOTAL BALANCE(I+ II) NOMINATION
Savings A/c 077301505616 3,228.41 0.00 3,228.41 Registered
TOTAL 3,228.41 0.00 3,228.41
Statement of Transactions in Savings Account Number: 077301505616 in INR for the period January 01, 2020 - July 13, 2020
DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE
01-01-2020 B/F 11,549.17
MMT/IMPS/000106393089/NA/Anurag/HDFC000181
01-01-2020 MOBILE BANKING 6/chgRs5.00GSTRs0.90 3,005.90 8,543.27
MMT/IMPS/000106434144/NA/CHINTU/SBIN000809
01-01-2020 MOBILE BANKING 3,705.90 4,837.37
1/chgRs5.00GSTRs0.90
01-01-2020 OTHER ATMS NFS/00192032/CASH WDL/01-01-20 500.00 4,337.37
MMT/IMPS/000115787185/NA/CHINTU/SBIN000809
01-01-2020 MOBILE BANKING 605.90 3,731.47
1/chgRs5.00GSTRs0.90
UPI/000132748094/Payment from
01-01-2020 2,000.00 5,731.47
Ph/9776324732@ybl/State Bank Of I
UPI/000172062506/Payment from
01-01-2020 980.00 6,711.47
Ph/9776324732@ybl/State Bank Of I
MMT/IMPS/000119416450/NA/CHINTU/SBIN000809
01-01-2020 MOBILE BANKING 3,235.90 3,475.57
1/chgRs5.00GSTRs0.90
MMT/IMPS/000206312460/NA/CHINTU/SBIN000809
02-01-2020 MOBILE BANKING 3,005.90 469.67
1/chgRs5.00GSTRs0.90
VPS/D SAHU AND
02-01-2020 DEBIT CARD /202001021341/000208511757/TALCHER 100.00 369.67
MMT/IMPS/000215887161/Anurag ray/ROHIT
02-01-2020 MOBILE BANKING 1,149.00 1,518.67
KUMA/UCO BANK
MMT/IMPS/000217158486/NA/CHINTU/SBIN000809
02-01-2020 MOBILE BANKING 1,505.90 12.77
1/chgRs5.00GSTRs0.90
UPI/000314729994/Payment from
03-01-2020 2,700.00 2,712.77
Ph/9776324732@ybl/State Bank Of I
UPI/000360687176/Payment from
03-01-2020 2,100.00 4,812.77
Ph/9776324732@ybl/State Bank Of I
UPI/000316353877/Payment from
03-01-2020 8,400.00 13,212.77
Ph/9776324732@ybl/State Bank Of I
UPI/000336850332/Payment from
03-01-2020 2,090.00 15,302.77
Ph/9776324732@ybl/State Bank Of I
04-01-2020 BIL/RCHG/001887322463/Airtel/9178095759 20.00 15,282.77
04-01-2020 OTHER ATMS NFS/00192032/CASH WDL/04-01-20 10,000.00 5,282.77
MMT/IMPS/000409619517/NA/CHINTU/SBIN000809
04-01-2020 MOBILE BANKING 1,005.90 4,276.87
1/chgRs5.00GSTRs0.90
04-01-2020 OTHER ATMS NFS/00192035/CASH WDL/04-01-20 1,000.00 3,276.87
MMT/IMPS/000411881878/NA/CHINTU/SBIN000809
04-01-2020 MOBILE BANKING 15.90 3,260.97
1/chgRs5.00GSTRs0.90
UPI/000448431708/Payment from
04-01-2020 1,300.00 4,560.97
Ph/9776324732@ybl/State Bank Of I
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MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
03-02-2020 MMT/IMPS/003407512575/NA/Dibesh/UCBA000091
MOBILE BANKING 0/chgRs5.00GSTRs0.90 805.90 4,710.77
03-02-2020 UPI/003445976504/Payment from
Ph/7894844540@ybl/State Bank Of I 2,748.00 7,458.77
03-02-2020 BIL/RCHG/001911920388/Airtel - O/9178792939 149.00 7,309.77
UPI/003454973959/Payment from
03-02-2020 150.00 7,459.77
Ph/8342992519@ybl/State Bank Of I
UPI/003472520576/Payment from
03-02-2020 5,754.00 13,213.77
Ph/8114302662@ybl/UCO Bank
UPI/003463288692/Payment from
03-02-2020 1,000.00 14,213.77
Ph/9861456996@ybl/Andhra Bank
UPI/003442706362/Payment from
03-02-2020 1,000.00 15,213.77
Ph/9861456996@ybl/Andhra Bank
03-02-2020 UPI/003488380301/Payment from 23,213.77
8,000.00
Ph/9861456996@ybl/Andhra Bank
04-02-2020 UPI/003507050513/UPI/lipuk444-1@okic/UCO Bank 2,000.00 25,213.77
04-02-2020 UPI/003527606183/Payment from 1,000.00 26,213.77
Ph/8342992519@ybl/State Bank Of I
04-02-2020 BY CASH-TALCHER 36,500.00 62,713.77
MMT/IMPS/003513402563/NA/SUNAKAR/SBIN0001
04-02-2020 MOBILE BANKING 083/chgRs5.00GSTRs0.90 40,005.90 22,707.87
MMT/IMPS/003513421083/NA/SUBHAKANTA/UCB
04-02-2020 MOBILE BANKING A0002075/chgRs5.00GSTRs0.90 19,005.90 3,701.97
UPI/003564072242/Payment from
04-02-2020 Ph/7894844540@ybl/State Bank Of I 4,612.00 8,313.97
UPI/003551440825/Payment from
04-02-2020 Ph/8342992519@ybl/State Bank Of I 880.00 9,193.97
UPI/003517222108/Payment from 11,093.97
04-02-2020 1,900.00
Ph/8114302662@ybl/UCO Bank
04-02-2020 BIL/INFT/001913178179/NA/ DEEPAK KUMAR DA 2,000.00 9,093.97
04-02-2020 BIL/RCHG/001913194714/BSNL Pyro /9583343342 13.00 9,080.97
05-02-2020 NET BANKING VIN/Symbiosis C/202002051435/003620621727/ 3,532.00 5,548.97
UPI/003614354014/Payment from
05-02-2020 Ph/8114302662@ybl/UCO Bank 2,010.00 7,558.97
05-02-2020 BIL/REV PMT ID 1913194714 13.00 7,571.97
05-02-2020 NET BANKING VIN/Symbiosis C/202002051510/003620639907/ 2,395.00 5,176.97
UPI/003615201347/UPI/naiknimain2@oki/United
05-02-2020 Bank of 1,551.00 6,727.97
05-02-2020 UPI/003617457737/UPI/lipuk444-1@okic/UCO Bank 2,169.00 8,896.97
06-02-2020 ACH/BDDMINBFC/TIED2138222 4,521.00 4,375.97
07-02-2020 BIL/INFT/001916087523/NA/ AJAYA KUMAR BEH 2,500.00 1,875.97
11-02-2020 BANK CHARGES ATMDEC CHG/31-01-2020/3374+ GST 29.50 1,846.47
17-02-2020 BIL/RCHG/001923321307/Vodafone -/9556203769 149.00 1,697.47
UPI/004957617527/Payment from
18-02-2020 6,000.00 7,697.47
Ph/9861456996@ybl/Andhra Bank
UPI/005072077599/Payment from
19-02-2020 Ph/8342992519@ybl/State Bank Of I 1,234.00 8,931.47
19-02-2020 OTHER ATMS NFS/00192032/CASH WDL/19-02-20 1,000.00 7,931.47
MMT/IMPS/005116473761/NA/CHINTUU/UTIB0000
20-02-2020 MOBILE BANKING 719/chgRs5.00GSTRs0.90 6,005.90 1,925.57
UPI/005117853118/Payment from
20-02-2020 Ph/8114302662@ybl/UCO Bank 4,679.00 6,604.57
UPI/005151982424/Payment from
20-02-2020 Ph/7894844540@ybl/State Bank Of I 1,633.00 8,237.57
UPI/005117097061/Payment from 8,617.57
20-02-2020 380.00
Ph/8342992519@ybl/State Bank Of I
20-02-2020 UPI/005118338296/UPI/lipuk444-1@okic/UCO Bank 1,300.00 9,917.57
21-02-2020 UPI/005207458795/UPI/lipuk444-1@okic/UCO Bank 585.00 10,502.57
21-02-2020 OTHER ATMS NFS/00192035/CASH WDL/21-02-20 10,000.00 502.57
UPI/005248461024/Payment from
21-02-2020 1,775.00 2,277.57
Ph/8114302662@ybl/UCO Bank
UPI/005217095113/UPI/naiknimain2@oki/United
21-02-2020 13,320.00 15,597.57
Bank of
Page 7 of 24
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
28-04-2020 MMT/IMPS/011916202752/NA/Jyoti/UCBA0000910/
MOBILE BANKING chgRs5.00GSTRs0.90 305.90 3,777.52
30-04-2020 CMS/ CMS1468406555/BUSYBEES LOGISTICS
CMS TRANSACTION SOLUTIONS P 15,904.00 19,681.52
01-05-2020 APBS/BLPGCM6007DT3004/1376186674 188.14 19,869.66
MMT/IMPS/012210183528/NA/Sunanda/SBIN00080
01-05-2020 MOBILE BANKING 91/chgRs5.00GSTRs0.90 4,205.90 15,663.76
MMT/IMPS/012210186560/NA/Nibedita/ANDB00024
01-05-2020 MOBILE BANKING 02/chgRs5.00GSTRs0.90 1,005.90 14,657.86
MMT/IMPS/012210189582/NA/Anurag/HDFC000181
01-05-2020 MOBILE BANKING 6/chgRs5.00GSTRs0.90 3,205.90 11,451.96
UPI/012236228567/NA/satyamallik@pay/Paytm 12,451.96
01-05-2020 1,000.00
Payments
01-05-2020 OTHER ATMS NFS/00192014/CASH WDL/01-05-20 2,000.00 10,451.96
01-05-2020 DEBIT CARD VPS/HPCL 99.25 10,352.71
DUSSAN/202005011147/012206732448/ANGUL
01-05-2020 OTHER ATMS NFS/00192032/CASH WDL/01-05-20 400.00 9,952.71
01-05-2020 MOBILE BANKING MMT/IMPS/012222448805/NA/Jyoti/UCBA0000910/ 155.90 9,796.81
chgRs5.00GSTRs0.90
04-05-2020 UPI/012423320501/UPI/lipuk444-1@okic/UCO Bank 8,709.00 18,505.81
MMT/IMPS/012506068274/NA/Jyoti/UCBA0000910/
04-05-2020 MOBILE BANKING chgRs5.00GSTRs0.90 8,714.90 9,790.91
UPI/012514188906/UPI/naiknimain2@oki/United
04-05-2020 Bank of 1,579.00 11,369.91
04-05-2020 NET BANKING VIN/RechargeCub/202005041512/012509205918/ 157.00 11,212.91
04-05-2020 UPI/012522454915/UPI/lipuk444-1@okic/UCO Bank 6,536.00 17,748.91
05-05-2020 UPI/012600653099/Payment from 365.00 18,113.91
Ph/8342992519@ybl/State Bank Of I
05-05-2020 OTHER ATMS NFS/00192032/CASH WDL/05-05-20 6,900.00 11,213.91
05-05-2020 OTHER ATMS NFS/00192032/CASH WDL/05-05-20 1,500.00 9,713.91
05-05-2020 NET BANKING VIN/bajajallian/202005051300/012607326943/ 2,395.00 7,318.91
UPI/012648945820/Payment from
05-05-2020 Ph/8342992519@ybl/State Bank Of I 2,485.00 9,803.91
CMS/000641171520/ADBLDESK DMIFINB_DMI000
05-05-2020 CMS TRANSACTION 4726844 4,521.00 5,282.91
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
MR.ANURAG RAY
Authorised Signatory
• As per prevailing guidelines of the Income tax Act, 1961 if a valid PAN is not provided by the • In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
Customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher. • In case your PAN is not updated in our record, please visit the nearest branch and provide a copy
• As per guidelines issued by CBDT on May 13, 2011, Form 16A (TDS Certificates) will be generated of the PAN card along with the original PAN card for verification.
through the Income tax website for which the PAN of the customer needs to be necessarily updated • The address of the customer in Form 16A will be the last updated address in the data base of the
in Bank's record. Income tax department.
REGD ADDRESS: LANDMARK, RACE COURSE CIRCLE, VADODARA - 390 007, INDIA www.icicibank.com
This is an authenticated intimation/statement. Category of service: Banking & Financial Services.
Customers are requested to immediately notify the Bank of any discrepancy in the statement Registration No. MIV/ST/Bank & Finc/4.
MHW1-WBG-M-05-Mar-12/148405000053 - 525322040/207/207 - Utility - 1 of 1 PAN Based STC No. AAACI1195HSST001.