Page 1 of 2 M-87654321-1
247503/87654321-1/1-2/RESGB/08-03
Your Base Branch : ICICI BANK LIMITED BRANCH, ICICI
BANK LTD., PHOENIX INFO CITY PVT LTD, AVANCE
BUSINESS HUB, BUILDING NO:H4, MADHAPUR 500081
MR.ARUN KUMAR MOHANTY
SISUPAL G P SISUPAL P S,LINGARAJ,PS
KHURDA : Visit www.icicibank.com
ODISHA - INDIA - 751002 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 : XXXXX0614 as on June 30, 2020
ACCOUNT DETAILS - INR
ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX7058 95,739.52 0.00 95,739.52 Registered
TOTAL 95,739.52 0.00 95,739.52
Statement of Transactions in Savings Account XXXXXXXX7058 in INR for the period June 01, 2020 - June 30, 2020
DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE
01-06-2020 B/F 77,054.17
01-06-2020 DEBIT CARD MPS/KISAN BAZAR/202005311131/002331/HYDERABAD 440.00 76,614.17
NEFT-005292550433-WIPRO
01-06-2020 TECHNOLOGIES-202005000016603-00090310002244-HDFC0004 42,075.00 1,18,689.17
989
01-06-2020 NET BANKING IIN/I-Debit/Innovative /202006011511/015309009496/ 512.00 1,18,177.17
02-06-2020 NET BANKING IIN/I-Debit/Innovative /202006020737/015405001650/ 174.00 1,18,003.17
03-06-2020 NET BANKING MIN/GOOGLE z5p/202006031140/372112/ 99.00 1,17,904.17
03-06-2020 NET BANKING IIN/I-Debit/Amazon /202006031325/015514007066/ 465.00 1,17,439.17
04-06-2020 NET BANKING IIN/INNOVATIVE /202006041124/060405903345/ 568.00 1,16,871.17
05-06-2020 NET BANKING IIN/Amazon /202006051137/060506568537/ 194.00 1,16,677.17
06-06-2020 NET BANKING IIN/I-Debit/Innovative /202006061624/015802012234/ 795.00 1,15,882.17
08-06-2020 NET BANKING IIN/I-Debit/Amazon /202006082009/016014015422/ 176.00 1,15,706.17
09-06-2020 DEBIT CARD MPS/VISHAL MEGA/202006091557/846214/HYDERABAD 1,182.00 1,14,524.17
09-06-2020 NET BANKING IIN/Amazon in -/202006092023/060914405125/ 185.00 1,14,339.17
09-06-2020 NET BANKING IIN/Amazon /202006092025/060914414619/ 379.00 1,13,960.17
10-06-2020 NET BANKING IIN/I-Debit/Innovative /202006100821/016214001850/ 121.00 1,13,839.17
11-06-2020 NET BANKING IIN/I-Debit/Amazon in G/202006111037/016310004260/ 459.00 1,13,380.17
MMT/IMPS/016311919406/rent deducted/ANIL
11-06-2020 MOBILE BANKING 6,328.00 1,07,052.17
KUMAR/CITI0000006
11-06-2020 NET BANKING IIN/Amazon /202006112242/061117337243/ 379.00 1,06,673.17
12-06-2020 NET BANKING MIN/Amazon Pay /202006120019/272486/ 69.00 1,06,604.17
15-06-2020 NET BANKING IIN/Amazon in -/202006130112/061219199907/ 199.00 1,06,405.17
15-06-2020 DEBIT CARD MPS/KISAN BAZAR/202006131017/040112/HYDERABAD 311.00 1,06,094.17
15-06-2020 NET BANKING IIN/INNOVATIVE /202006140502/061323067821/ 831.55 1,05,262.62
15-06-2020 NET BANKING IIN/RFND/I-Debit/Amazon /20200614155254 199.00 1,05,461.62
15-06-2020 MSI/ICL AMAZON /202006150646/306115/ 999.00 1,04,462.62
16-06-2020 NET BANKING IIN/INNOVATIVE /202006161202/061606434393/ 410.00 1,04,052.62
18-06-2020 NET BANKING IIN/Amazon in -/202006180919/061803419411/ 224.00 1,03,828.62
18-06-2020 NET BANKING IIN/Amazon in -/202006180925/061803436855/ 318.00 1,03,510.62
18-06-2020 NET BANKING IIN/I-Debit/Amazon in G/202006181149/017010005364/ 267.00 1,03,243.62
18-06-2020 NET BANKING IIN/Amazon /202006181152/061806909931/ 376.00 1,02,867.62
20-06-2020 NET BANKING MIN/PAY WWW BIG/202006201010/122293/ 364.00 1,02,503.62
22-06-2020 NET BANKING IIN/INNOVATIVE /202006210719/062101002021/ 53.00 1,02,450.62
22-06-2020 NET BANKING IIN/INNOVATIVE /202006220624/062200381077/ 875.10 1,01,575.52
22-06-2020 NET BANKING MIN/bigbasketPa/202006222115/970627/ 335.00 1,01,240.52
23-06-2020 NET BANKING IIN/I-Debit/Amazon /202006231540/017505006486/ 255.00 1,00,985.52
23-06-2020 NET BANKING IIN/I-Debit/Amazon /202006231557/017510006810/ 379.00 1,00,606.52
24-06-2020 NET BANKING IIN/Amazon in -/202006240152/062320250183/ 799.00 99,807.52
Total: 42,274.00 19,520.65 99,807.52
Page 2 of 2 M-87654321-1
Statement of Transactions in Savings Account XXXXXXXX7058 in INR for the period June 01, 2020 - June 30, 2020
DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE
24-06-2020 NET BANKING IIN/Amazon /202006240155/062320251089/ 447.00 99,360.52
24-06-2020 NET BANKING IIN/Amazon /202006240156/062320251571/ 447.00 98,913.52
24-06-2020 NET BANKING IIN/Amazon /202006240200/062320253107/ 447.00 98,466.52
24-06-2020 NET BANKING IIN/Amazon /202006240203/062320254553/ 447.00 98,019.52
24-06-2020 NET BANKING IIN/RFND/I-Debit/Amazon /20200624053738 255.00 98,274.52
24-06-2020 NET BANKING IIN/Amazon /202006242109/062415147215/ 399.00 97,875.52
24-06-2020 NET BANKING IIN/I-Debit/Amazon in G/202006242225/017614016992/ 116.00 97,759.52
26-06-2020 IPS REF DT 25 06 2020 004126 Amazon 447.00 98,206.52
26-06-2020 IPS REF DT 25 06 2020 004109 Amazon 447.00 98,653.52
26-06-2020 IPS REF DT 25 06 2020 004107 Amazon 447.00 99,100.52
26-06-2020 RPI/Netflix PG/202006262302/062617818749/ 499.00 98,601.52
29-06-2020 NET BANKING IIN/I-Debit/Amazon in G/202006280417/018001000838/ 264.00 98,337.52
29-06-2020 NET BANKING IIN/I-Debit/Amazon in G/202006280545/018009001180/ 1,179.00 97,158.52
29-06-2020 NET BANKING IIN/I-Debit/Amazon in G/202006280632/018001001290/ 745.00 96,413.52
29-06-2020 NET BANKING IIN/I-Debit/Amazon /202006280742/018010001584/ 309.00 96,104.52
29-06-2020 NET BANKING IIN/I-Debit/Amazon /202006280836/018005001958/ 499.00 95,605.52
29-06-2020 NET BANKING IIN/I-Debit/Innovative /202006280915/018009002410/ 554.00 95,051.52
29-06-2020 247501507058:Int.Pd:30-03-2020 to 28-06-2020 688.00 95,739.52
Total: 2,284.00 6,352.00 95,739.52
REWARD POINTS SUMMARY
SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of May, 2020
POINTS BALANCE*
NUMBER NUMBER My Savings REWARD DEBIT CARD
XXXXXXXX7058 XXXXXXXXXXXX3909 0 93 204
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on June 20, 2020, 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 XXXXXXXX7058 500229092 ICIC0002475 -
* 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 As per prevailing guidelines of the Income tax Act, 1961, if a valid PAN is not provided by the
funds, etc. through SMS, e-mails and calls. customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
l With effect from May 03, 2020, service charges for Savings Account have been revised. For l In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
details, please visit www.icicibank.com/notice-board.page l In case your PAN is not updated in our record, please visit the nearest branch and provide a
l Bank’s Code of Commitment to Customers and Micro and Small Enterprises (MSE): Please copy of the PAN card, along with the original PAN card for verification.
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: Insurance premium is collected on behalf of ICICI Prudential Life Insurance
l As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be Company Limited plus Administration charges collected by ICICI Bank (including GST) in line
generated through the Income tax website for which the PAN of the customer needs to be with extant laws. Effective Sep 01, 2018, premium is charged on a pro rata basis for all new
necessarily updated in Bank's record. enrolments in the scheme. It is noteworthy that the renewal premium for all existing customers
l Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation shall be charged for a period of one year (i.e. Rs 330) on May 25-31 every year. For details on
(DICGC) up to a maximum of Rs. 5 lakh, for both principal and interest amount held by him premium structure, refer Terms & Conditions under Pradhan Mantri Social Security Schemes at
in the same right and same capacity. 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
