Page 1 of 3 M-6314766

006953/6314766/1-3/RESGB/06-1
Your Base Branch : HABSIGUDA,HYDERABAD BRANCH,
7-102/5 AND 12, GROUND FLOOR, SAI ENCLAVE, AJAY
CHAMBERS, UPPAL ROAD, HABSIGUDA 500076
MR.GANTA HARISH
3-16-104/1,VENKAT REDDY NAGAR,RAMANTHAPUR
HYDERABAD : Visit www.icicibank.com
TELANGANA - INDIA - 500013
Å Dial your Bank 1860 120 7777

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

STATEMENT SUMMARY for Customer ID : XXXXX0021 as on January 31, 2019

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX8513 4,000.04 0.00 4,000.04 Registered

TOTAL 4,000.04 0.00 4,000.04

Statement of Transactions in Savings Account XXXXXXXX8513 in INR for the period January 01, 2019 - January 31, 2019

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-01-2019 B/F 32,073.93
02-01-2019 CMS TRANSACTION CMS/000483286060/BAJAJ_AUTO_CD__400CDD69739102 1,813.00 30,260.93
04-01-2019 BANK CHARGES ATMDEC CHG/30-12-2018/0483+GST 29.50 30,231.43
04-01-2019 UPI/900417187187/UPI/jagadeeshou@oks/CHATISGARH R 1,000.00 31,231.43
G
05-01-2019 NET BANKING BIL/001613244061/SIPG/559595659012 5,981.00 25,250.43
05-01-2019 UPI/900508494203/UPI/maheshduuba-1@o/Axis Bank Ltd 1,500.00 23,750.43
./
05-01-2019 LPHYDXX38712 JAN19 Harish Gan 12,075.00 11,675.43
05-01-2019 ACH/DMI FINANCE PRIVATE/DMI0000550900 4,680.00 6,995.43
05-01-2019 UPI/900516497676/UPI/pathikishore36@/INDUSIND BANK 1,000.00 5,995.43
05-01-2019 ICICI ATM ATM/CASH WDL/05-01-19/0 1,000.00 4,995.43
07-01-2019 UPI/900610640668/Hai/sandeepgodishal/Hutatma Sahak 7,000.00 11,995.43
ar
07-01-2019 OTHER ATMS NFS/CASH WDL/07-01-19 2,000.00 9,995.43
08-01-2019 OTHER ATMS NFS/H0121101/CASH WDL/08-01-19 2,000.00 7,995.43
09-01-2019 ICICI ATM ATM/SACWF637/CASH WDL/09-01-19 7,500.00 495.43
09-01-2019 UPI/900912170056/Hi/gmadukar1@okici/Hutatma Sahaka 100.00 595.43
r
09-01-2019 UPI/900912184914/Hi/gmadukar1@okici/Hutatma Sahaka 7,900.00 8,495.43
r
09-01-2019 OTHER ATMS NFS/H1293101/CASH WDL/09-01-19 8,000.00 495.43
10-01-2019 NEFT-AXIC190104342131-COE SOFTWARE TECHNOLOGIES PR 45,050.00 45,545.43
IVATE--912020030691997-UTIB0001195
10-01-2019 UPI/901015570605/Gh/pathikishore36@/INDUSIND BANK 1,000.00 44,545.43
10-01-2019 UPI/901017965396/Gh/gmadukar1@okici/Hutatma Sahaka 8,300.00 36,245.43
r/
10-01-2019 UPI/901017982588/Gh/gmadukar1@okici/Hutatma Sahaka 9,000.00 27,245.43
r/
10-01-2019 UPI/901019420924/Gh/ganeshganta444@/CHATISGARH R G 1,000.00 26,245.43
10-01-2019 UPI/901019440385/Gh/sandeepgodishal/INDUSIND BANK 4,300.00 21,945.43
11-01-2019 MABchgs-Dec18+GST 393.38 21,552.05
11-01-2019 NET BANKING VIN/ioclpetroSB/201901112027/901114425199/ 3,000.00 18,552.05
15-01-2019 UPI/901520430189/Gh/ganeshganta444@/CHATISGARH R G 500.00 18,052.05
15-01-2019 UPI/901520846312/UPI/goog-payment@ok/Axis Bank Ltd 14.00 18,066.05
.
15-01-2019 UPI/901520560438/Gh/ganeshganta444@/CHATISGARH R G 1,000.00 17,066.05
16-01-2019 MOBILE BANKING MMT/IMPS/901612848890/comments/GODISHALA /Paytm Pa 1,800.00 18,866.05
yments
Total: 62,864.00 76,071.88 18,866.05
 Page 2 of 3 M-6314766

Statement of Transactions in Savings Account XXXXXXXX8513 in INR for the period January 01, 2019 - January 31, 2019

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

16-01-2019 ICICI ATM ATM/SACWC449/CASH WDL/16-01-19 17,000.00 1,866.05
16-01-2019 ICICI ATM ATM/SACWF637/CASH WDL/16-01-19 300.00 1,566.05
17-01-2019 MOBILE BANKING MMT/IMPS/901710607072/comments/GODISHALA /Paytm Pa 3,000.00 4,566.05
yments
17-01-2019 MOBILE BANKING MMT/IMPS/901710866001/Fh/Harish/KKBK0007529 4,505.90 60.15
/chgRs5.00GSTRs0.90
17-01-2019 MOBILE BANKING MMT/IMPS/901712731355/comments/GODISHALA /Paytm Pa 2,000.00 2,060.15
yments
17-01-2019 UPI/901712283351/NA/9703595256@ybl/ 200.00 1,860.15
17-01-2019 UPI/RVSL901712283351/NA/9703595256@ybl/ 200.00 2,060.15
17-01-2019 UPI/901736339826/NA/9703595256@ybl/CHATISGARH R G 200.00 1,860.15
18-01-2019 OTHER ATMS NFS/P3ENHD48/CASH WDL/18-01-19 1,000.00 860.15
19-01-2019 MOBILE BANKING MMT/IMPS/901909260401/CHIRRA KAR/Paytm Payments 5,000.00 5,860.15
19-01-2019 MOBILE BANKING MMT/IMPS/901910193442/Friends/Harish/KKBK0007529 5,805.90 54.25
/chgRs5.00GSTRs0.90
21-01-2019 NEFT-ICMS190121000DZT-WYZ GAMES INDIA PVT LTD-WYZG 920.00 974.25
AMES-0008102000066662-IBKL0000028
21-01-2019 MOBILE BANKING MMT/IMPS/902120109570/Gh/Harish/HDFC0003796 905.90 68.35
/chgRs5.00GSTRs0.90
22-01-2019 MOBILE BANKING MMT/IMPS/902210339490/MB: GH/HARISH GAN/KOTAK MAHI 550.00 618.35
NDRA
22-01-2019 UPI/902210816250/Gh/jamdande.geetha/Paytm Payments 500.00 118.35
22-01-2019 UPI/902212682415/UPI/jamdande.geetha/Paytm Payment 1,500.00 1,618.35
s
22-01-2019 UPI/902237612616/Oid7136479331@O/payide@paytm/Payt 199.00 1,419.35
m Payments/
22-01-2019 UPI/902214727102/UPI/praveen.busani0/CHATISGARH R 1,900.00 3,319.35
G
22-01-2019 UPI/902214757275/UPI/gudururaju14@ok/Andhra Bank 2,000.00 5,319.35
22-01-2019 OTHER ATMS NFS/N3046001/CASH WDL/22-01-19/Fee Rs20.00 GST Rs3 5,223.60 95.75
.60
23-01-2019 UPI/902308968043/Hh/karna402023-1@o/Paytm Payments 1,000.00 1,095.75
23-01-2019 UPI/902308973308/Hh/karna402023-1@o/Paytm Payments 1,000.00 2,095.75
23-01-2019 DEBIT CARD VPS/GREEN TREND/201901231701/902311086432/HYDERABA 389.00 1,706.75
D
23-01-2019 DEBIT CARD VPS/TARNAKA /201901231715/902311482275/HYDERABA 200.00 1,506.75
D
23-01-2019 DEBIT CARD IPS/L BIKSHAPAT/201901232245/000000023567/HYDERABA 225.00 1,281.75
D
24-01-2019 UPI/902405589436/UPI/praveen.busani0/CHATISGARH R 1,000.00 281.75
G/
24-01-2019 DEBIT CARD IPS/SRINIVASA S/201901241215/000000006517/HYDERABA 151.30 130.45
D
24-01-2019 UPI/902412775085/Gh/vramesh1209@oks/Andhra Bank 100.00 30.45
24-01-2019 UPI/902417309767/Hai/sandeepgodishal/INDUSIND BANK 1,000.00 1,030.45
24-01-2019 UPI/902417028830/Gh/karna402023-1@o/Paytm Payments 1,000.00 30.45
24-01-2019 MOBILE BANKING MMT/IMPS/902417774635/CHIRRA KAR/Paytm Payments 1,000.00 1,030.45
28-01-2019 UPI/902610466655/Gh/karna402023-1@o/Paytm Payments 1,000.00 30.45
28-01-2019 UPI/902612602160/Cchjjg/karna402023-1@o/Paytm Paym 900.00 930.45
ents
28-01-2019 ICICI ATM ATM/SACWJ227/CASH WDL/26-01-19 500.00 430.45
28-01-2019 ICICI ATM ATM/S1CNQ643/CASH WDL/27-01-19/Fee Rs20.00 GST Rs3 423.60 6.85
.60
28-01-2019 UPI/902713143191/UPI/prasanna7.allu@/CHATISGARH R 2,000.00 2,006.85
G
28-01-2019 UPI/902714824325/Gh/prasanna7.allu@/CHATISGARH R G 2,000.00 6.85
28-01-2019 UPI/902811715825/Hai/sandeepgodishal/INDUSIND BANK 4,000.00 4,006.85
28-01-2019 UPI/902811908798/Gh/praveen.busani0/State Bank Of 2,000.00 2,006.85
Total: 27,970.00 44,829.20 2,006.85
 Page 3 of 3 M-6314766

Statement of Transactions in Savings Account XXXXXXXX8513 in INR for the period January 01, 2019 - January 31, 2019

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

I/
28-01-2019 UPI/902838581704/Oid7189755549@O/add-money@paytm/P 411.00 1,595.85
aytm Payments/
28-01-2019 UPI/902819950286/Gh/gmadukar1@okici/ICICI Bank 500.00 1,095.85
29-01-2019 ICICI ATM ATM/S1VDC019/CASH WDL/29-01-19/Fee Rs20.00 GST Rs3 1,023.60 72.25
.60
29-01-2019 UPI/902937039954/Oid7197638310@O/add-money@paytm/P 70.00 2.25
aytm Payments/
29-01-2019 IPS REF DT 25 01 2019 000109 HPCL 0 75 CASHLESS 1.13 3.38
IN
29-01-2019 VISA REF TARNAKA FILLING STATIO 1.50 4.88
29-01-2019 BANK CHARGES ATMDEC CHG/22-01-2019/0483+GST 4.87 0.01
30-01-2019 NEFT-KKBK190302263819-Kotak Mahindra Bank Ltd-Pyt 41,414.00 41,414.01
Loan A c SPLN 62051859 dt 30-06410125111001-KKBK0
31-01-2019 BIL/PAVC/001630728387/Visa/Gh/Hari 32,413.97 9,000.04
31-01-2019 UPI/903110249308/Gh/jamdande.geetha/Kotak Mahindra 3,000.00 6,000.04
31-01-2019 UPI/903115273336/Gh/sandeepgodishal/INDUSIND BANK 1,000.00 5,000.04
31-01-2019 UPI/903120316662/Gu/gmadukar1@okici/ICICI Bank 1,000.00 4,000.04
TOTAL Total: 41,416.63 39,423.44 4,000.04

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of December, 2018
POINTS BALANCE*
NUMBER NUMBER
My Savings REWARD DEBIT CARD
XXXXXXXX8513 XXXXXXXXXXXX4704 0 172 190
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on January 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 XXXXXXXX8513 500229005 ICIC0000069 -
* Nominee name is displayed only on specific consent of customer.

For ICICI Bank Limited

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
Pranav Mishra RTGS-Real Time Gross Settlement (Instant transfer above Rs 2 Lakh) NEFT- National Electronic Fund Transfer
Senior General Manager
Retail Liabilities Group

• Bank’s Code of Commitment to Customers & Micro and Small Enterprises (MSE):To know
about our code of commitment to customers, 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 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 of any discrepancy in the statement
ROG_ SR128812020_DB_AS_SSen_26052019