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M H W1/181D/1-1/W BF-M/03-12

350801505524??HARS1905 262405

MR.H ARS H V E ER SIN G H Y our Base Branch : ICICI B A N K LT D., W ARD N O - 8,

SIT ARG A N J,C,U D H A M SIN G H N A G AR,,262405
45 2,W ARD N O 9 H A T HI KH A N A -,SIT ARG A N J,
SIT ARG A N J
U D H A M SIN G H N A G AR Visit w w w.icicibank.co m
U T T ARA KH A N D - IN DIA - 262405 Dial your Bank B479

Did you kno w? It's m andatory to b e KY C co m pliant as p er RBI guid elines. If y ou hav e not sub mitte d y our KY C d ocu m ents, please visit the nearest
branch or contact y our Relationship M anager to co m plete KY C d etails for y our A ccount.

Su m m ary of A ccounts held und er Cust ID : 586553765 as on June 02, 2024

A C C O U N T D E T AILS - INR
A C C O U N T T YPE A/c B ALA N C E(I) FIX E D D EP O SITS (LIN K E D ) B AL.(II) T O T AL B ALA N C E(I + II) N O MIN A TIO N
Savings A/c 350801505524 75.32 0.00 75.32 Registere d
T O T AL 75.32 0.00 75.32

State m ent of Transactions in Savings A ccount N u m b er: 350801505524 in INR for the p erio d M ay 14, 2024 - June 02, 2024
DATE M O D E** P ARTIC ULARS D EP O SITS WIT H D R A W ALS B ALA N C E
14-05-2024 B/F 12,475.73
UPI/450170960882/UPI/m ushe erah m ad.68/H D F C
14-05-2024 BANK 10.00 12,465.73
LT D/ICIdfcdf3816ba742e7b388e4e e289b e887/
UPI/413578856581/UPI/paytm qr1jqhjjoh/Y es Bank
14-05-2024 Ltd/ICI0d0e bfaadad442c79f74f9e1bc1c7a93/ 20.00 12,445.73
UPI/413579277539/UPI/galaxy eco m m erce/RBL/ICI1
14-05-2024 c3760540dfc4c8a843794935f7b e b13/ 8,555.00 3,890.73
UPI/413592683574/UPI/paytm qr9440twjx/Y es Bank
14-05-2024 Ltd/ICIab87e097596e464eaf26b5a3cf183d95/ 21.00 3,869.73
UPI/450149480634/UPI/q777379909 @ ybl/Y es Bank
14-05-2024 Ltd/ICIaeca839d b e1b4a4b bf146a544aae0226/ 55.00 3,814.73
UPI/450102385702/UPI/paytm qr11paeuu4/Y es Bank
14-05-2024 Ltd/ICI5e d69846a0fa47fd813c38d da72e da2d/ 50.00 3,764.73
UPI/413526794856/UPI/v e erharsh139-2 @ /U nion
14-05-2024 Bank of I/ICIb bc6cfa64c444da68aecdc869c4e1b e5/ 2,000.00 1,764.73
UPI/450275203816/UPI/q777379909 @ ybl/Y es Bank
15-05-2024 Ltd/ICI87cda9532f7349cb b b601c426e e e93b2/ 11.00 1,753.73
UPI/413628117020/UPI/jasje etsingh m at/Kotak
15-05-2024 M ahindra 100.00 1,853.73
/SBI9b5c42cd112d4412b10a270e77f007b4
UPI/413676137747/UPI/abhisingh622005/Punjab
15-05-2024 and Sind/ICI46e e175c94494ef8ac81176c144fafe e/ 150.00 1,703.73
UPI/413711448439/UPI/8534005625466 @ p/H D F C
16-05-2024 B A N K LT D/ICI0c28dffd6f54407c80b1a51d d e4d68cc/ 400.00 1,303.73
UPI/413811444093/UPI/anshupand e y968-/State
17-05-2024 Bank O f I/SBIfc069b585a09494692a6a643425cfac2 20.00 1,323.73
UPI/450429434396/UPI/q585873489 @ ybl/Y es Bank
17-05-2024 Ltd/ICI427b73b93973478fb46b25328222c1e9/ 40.00 1,283.73
UPI/450498635947/UPI/q585873489 @ ybl/Y es Bank
17-05-2024 Ltd/ICIe1d686d6248649ffb30f03118ce24ae d/ 1.00 1,282.73
UPI/450441453195/UPI/paytm qr1b xa2njr/Y es Bank
17-05-2024 Ltd/ICI576c877074d5458d b0cf6ce6795733ce/ 60.00 1,222.73
UPI/413957754171/UPI/vyapar.17103586/H D F C
18-05-2024 B A N K LT D/ICI672cf4ae b bfb4ea2ab4ff45ea2675a7f/ 150.00 1,072.73
UPI/413939867547/UPI/paytm qr1hona2y5/Y es Bank
18-05-2024 Ltd/ICI06f0caa183f94c399b8b5592b54497a3/ 10.00 1,062.73
UPI/450575562945/UPI/paytm qr1hona2y5/Y es Bank
18-05-2024 Ltd/ICI60cf3e d d47c94d58a2c8f1c11b b27c4e/ 5.00 1,057.73
UPI/413901461500/UPI/paytm qr1hvb5rrm/Y es Bank
18-05-2024 Ltd/ICI2c61914b e97a48e68138aa8682b9799d/ 13.00 1,044.73
 Page 2 of 6

MR.H ARS H V E ER SIN G H

DATE M O D E** P ARTIC ULARS D EP O SITS WIT H D R A W ALS B ALA N C E

UPI/450594863898/UPI/paytm qr1hvb5rrm/Y es Bank
18-05-2024 Ltd/ICIbf4f0b772dc14f0b91e8a40b02da432e/ 1.00 1,043.73
UPI/450537566482/UPI/rs15887023 @ oksb/Bank of
18-05-2024 India/ICIe44ab b9bf2cb4459a58b3d0d826f066d/ 400.00 643.73
UPI/413910865671/UPI/rs15887023 @ oksb/Bank of
18-05-2024 India/ICI9e4d75d821d844e2993ad75625208313/ 100.00 543.73
UPI/450509891088/UPI/paytm qrlr3djrys/Y es Bank
18-05-2024 Ltd/ICI854eaaa627d54af9a855ac0e3764b210/ 31.00 512.73
UPI/450587496094/UPI/m ushe erah m ad.68/H D F C
18-05-2024 BANK 6.00 506.73
LT D/ICI0223278d69164c70bae7979513d e1061/
UPI/414007210729/UPI/yashsax ena99316/State
20-05-2024 Bank O f I/ICIc06f5f3e4409439b97a731b48d08f7a2/ 30.00 476.73
UPI/414026565345/UPI/v e erharsh139-2 @ /U nion
20-05-2024 Bank of I/H D F92cb7fd80e e5438d bf51d b3764141212 500.00 976.73
UPI/414026622679/UPI/v e erharsh139-2 @ /U nion
20-05-2024 Bank of I/H D F0f920d b d15ff4258a4332d9b d30e08af 300.00 1,276.73
UPI/450665529856/Pay T o H U N GRY
20-05-2024 P/bharatp e0990722/Y es Bank 735.00 541.73
Ltd/ICI9e080f00b1374847b d27fbc468c5e9fe/
UPI/414049934978/UPI/paytm qr1w yq o5bf/Y es Bank
20-05-2024 Ltd/ICI20dfa7b b94a748f0956a44c04c681ba1/ 340.00 201.73
UPI/414047837657/UPI/q614737325 @ ybl/Y es Bank
20-05-2024 Ltd/ICI771b405509634fef9d1ac97e766b2b97/ 30.00 171.73
UPI/414089833546/UPI/paytm qr28100505/Y es Bank
20-05-2024 Ltd/ICIe8b544fbafd e4b d29a30469cb e e0fc42/ 100.00 71.73
UPI/414046533913/UPI/q614737325 @ ybl/Y es Bank
20-05-2024 Ltd/ICI4f52469686e74876b98d9dc60b9b2ac4/ 33.00 38.73
UPI/414034220290/UPI/v e erharsh139-2 @ /U nion
20-05-2024 Bank of I/H D F2a28c058b6f24e dcb76022c2d358d803 50.00 88.73
UPI/414034235153/UPI/v e erharsh139-2 @ /U nion
20-05-2024 Bank of I/H D F8f02007468544a5896130bffdafca7a1 30.00 118.73
UPI/450668538311/UPI/9837242786 @ ptsb/State
20-05-2024 Bank O f I/ICI6ce8044ad b e042258c1ba1ceaec06f51/ 11.00 107.73
UPI/450605248189/UPI/9837242786 @ ptsb/State
20-05-2024 Bank O f I/ICI637e4393c2b148d497861a723fc1d13a/ 100.00 7.73
UPI/450719252002/UPI/paytm qrm vk w c0bh/Y es
20-05-2024 Bank Ltd/ICI3642cc875e5441d0a734404a72a4e832/ 2.00 5.73
UPI/414283760684/UPI/v e erharsh139-2 @ /U nion
21-05-2024 Bank of 3,250.00 3,255.73
I/H D F450daf97e6b94cc194e445e3478b d8d d
21-05-2024 M A Bchgs-A pr24 + G S T 349.47 2,906.26
UPI/414285223124/UPI/v e erharsh139-2 @ /U nion
21-05-2024 Bank of I/H D F2f0e97fca2364d9ab08875606b379735 350.00 3,256.26
UPI/414261956329/Pay m ent fro m
21-05-2024 Ph/jyotiharipatre @ /Bank of 3,250.00 6.26
Baro da/IBL42a978482efb4e31aba8abcc05da6454/
UPI/414239809381/UPI
21-05-2024 Pay m ent/m ukulonshre e @ fa/Tri O T ech/T O T7E3B8F F 1,245.00 1,251.26
4 A E974223 A 65 A E646 A B3E1070
UPI/414242278368/UPI
21-05-2024 Pay m ent/m ukulonshre e @ fa/Tri O T ech/T O T1D786D2 300.00 1,551.26
B023B470DB00247 A B08C9444E
UPI/414289173927/UPI/v e erharsh139-2 @ /U nion
21-05-2024 Bank of I/H D F e6b e2631714a4481a140cd e96ffe6537 1,400.00 2,951.26
M M T/IMPS/414215357123/Re mitterinfo/C M SIMPSP
21-05-2024 M O BILE B A N KIN G ay/Bank of Baro da 1,549.00 4,500.26
21-05-2024 N E T B A N KIN G VIN/P A YP AL VIP/202405211508/414209571506/ 3,103.14 1,397.12
UPI/414285805326/UPI/paytm qr28100505/Y es Bank
21-05-2024 Ltd/ICI94ec58182a7f4ef1968c688fa5d1916d/ 15.00 1,382.12
UPI/450837518773/UPI/paytm.s10naz6 @ p/Y E S
21-05-2024 B A N K PT Y/ICIaa93b5f217074f97b0533539d19d4fc4/ 30.00 1,352.12
UPI/450824720887/UPI/m ushe erah m ad.68/H D F C
21-05-2024 BANK 25.00 1,327.12
LT D/ICId d53963c996c48c29b37a2c76121b6e e/
 Page 3 of 6

MR.H ARS H V E ER SIN G H

DATE M O D E** P ARTIC ULARS D EP O SITS WIT H D R A W ALS B ALA N C E

UPI/414237133697/Pay to
21-05-2024 BharatPe/bharatp e9072534/Y es Bank 20.00 1,307.12
Ltd/ICI48dad7015b b643cd809e3771e4472fb8/
UPI/450827226377/UPI/kisanchandr04 @ o/Punjab
21-05-2024 N ational/ICIfb46e0e d e df44ce68f73e19995d7379a/ 30.00 1,277.12
UPI/414321550443/UPI/sr4974370 @ oksbi/State
22-05-2024 Bank O f I/ICI8e065d58f6274b31a016dad e ec2678fe/ 700.00 577.12
UPI/414321381402/UPI/faizm alik544e @ o/H D F C
22-05-2024 BANK 50.00 627.12
LT D/H D F d b8b4b5d87cd4ba8b274e3b b8e e28d2c
UPI/414369263883/UPI/q93545552 @ y bl/Y es Bank
22-05-2024 Ltd/ICI4c42910e d7734269b97ba1c00e0853ca/ 50.00 577.12
UPI/450980469830/UPI/q935964350 @ ybl/Y es Bank
22-05-2024 Ltd/ICI35c1a51f79114a35aa06165399b6fa39/ 20.00 557.12
UPI/414350591363/UPI/paytm.s10lezy @ p/Y E S
22-05-2024 BANK 13.00 544.12
PT Y/ICI0796b7b ea7dc4aa6b7ca925dfd7aa19b/
UPI/414334795266/UPI/m ukulonshre e @ fa/Tri O T ech
23-05-2024 /ICI7e43591d189e49fea3d6cb7a6f3cb73a/ 500.00 44.12
M M T/IMPS/414323952603/Transafer
23-05-2024 M O BILE B A N KIN G Re que/BH ARTIP A Y /Y es Bank Ltd 489.00 533.12
UPI/414415604377/UPI/q091948763 @ ybl/Y es Bank
23-05-2024 Ltd/ICIc07e61a1522b4d6aa58e3e e5d4a8990a/ 10.00 523.12
UPI/451091409419/Pay to
23-05-2024 BharatPe/bharatp e.900630/F e d eral 55.00 468.12
Bank/ICIf53543327832423e b0925b d5114211fd/
UPI/451053802836/UPI/paytm qr16791c @ p/Y es
23-05-2024 Bank Ltd/ICI24f8073e07d94504ab0b4cd31214acf8/ 20.00 448.12
M M T/IMPS/414451612754/inv estm ent/M D
23-05-2024 M O BILE B A N KIN G N A J M U SS/U C O Bank 3,040.00 3,488.12
UPI/451083920073/UPI/m onu m onuansari8/State
23-05-2024 Bank O f I/ICI82cd e1c685c24e e0a1455ce22493cca7/ 100.00 3,388.12
UPI/451064529609/UPI/v e erharsh139-2 @ /U nion
23-05-2024 Bank of I/ICI3e3d089a8c7046abaa038c38d49560fd/ 1,500.00 1,888.12
UPI/414471222595/UPI/paytm qr28100505/Y es Bank
23-05-2024 Ltd/ICI023843b943ca48348b562777f3037e2d/ 11.00 1,877.12
UPI/414487328461/Pay to
23-05-2024 BharatPe/bharatp e.900687/F e d eral 20.00 1,857.12
Bank/ICI831d9a96d5314d59b953ae7fb7fc8e89/
UPI/451092425997/Pay m ent fro m
23-05-2024 Ph/8057094293 @ ibl/H D F C B A N K 50.00 1,907.12
LT D/IBL03095b b5467a48108766dfb ba73550ac
UPI/414505961973/UPI/paytm qr550hx b @ p/Y es
24-05-2024 Bank Ltd/ICI51a010628da04ccab7646f7f062d3264/ 7.00 1,900.12
UPI/414592573615/UPI/faizm alik544e @ o/H D F C
24-05-2024 B A N K LT D/ICIf351df07781c4e e49018c592f1882c1e/ 50.00 1,850.12
UPI/414551370132/UPI/yash0719 @ paytm/State
24-05-2024 Bank O fI/ICI159df39783454644b b4ea3e7993f6b04/ 10.00 1,840.12
UPI/451154968333/UPI/m ushe erah m ad.68/H D F C
24-05-2024 BANK 17.00 1,823.12
LT D/ICIb1b83f51fd3b4b9d b d d97dac4a150d09/
UPI/451101175343/UPI/m ushe erah m ad.68/H D F C
24-05-2024 BANK 6.00 1,817.12
LT D/ICIc6780b e268664870aea1f22ab e13c693/
UPI/414505872107/UPI/faizm alik544e @ o/H D F C
24-05-2024 BANK 10.00 1,827.12
LT D/H D Ff64a379b0004463b9ce0e72911aaef2e
UPI/414578372369/UPI/paytm qr9440twjx/Y es Bank
24-05-2024 Ltd/ICI696fd6672e4d460287b9210b88d b3eae/ 10.00 1,817.12
UPI/414510071692/UPI/gpay-1120063861/A xis Bank
24-05-2024 Ltd./ICIc7cfb43547c747aab3fd9cef46da6c1d/ 14.00 1,803.12
UPI/414501484411/UPI/m ushe erah m ad.68/H D F C
24-05-2024 BANK 10.00 1,793.12
LT D/ICI2ac982dcd95e469a8d d4b37e8b53f1c7/
UPI/451192889898/UPI/gpayrecharge @ ok/A xis
24-05-2024 Bank Ltd./ICI815eae8c43b84fd1882596692a4e96fd/ 19.00 1,774.12
 Page 4 of 6

MR.H ARS H V E ER SIN G H

DATE M O D E** P ARTIC ULARS D EP O SITS WIT H D R A W ALS B ALA N C E

UPI/451157894834/UPI/paytm qr167d9j @ p/Y es Bank
24-05-2024 Ltd/ICI44e07f80b8824849a7b886e8f399309b/ 13.00 1,761.12
UPI/414591893688/UPI/paytm qrv51mjd3q/Y es Bank
24-05-2024 Ltd/ICI399d4e4fd5ef417e940cf90b6e e3d6fa/ 60.00 1,701.12
UPI/414629506789/UPI/a mitsharm aa838-/A xis Bank
25-05-2024 Ltd./ICIa1378b5d d19b4df98ba66d576d e e82da/ 40.00 1,661.12
UPI/414649114306/UPI/jjjjjjkklllllll/Punjab
25-05-2024 N ational/ICI66cb0d116cb e4e b29d5a96fd93f1bf43/ 30.00 1,631.12
UPI/451287212594/UPI/paytm qr16791c @ p/Y es
25-05-2024 Bank Ltd/ICI0157c2e1386e4c6f9b768624e e6e10e3/ 20.00 1,611.12
UPI/414695921845/UPI/paytm.s10naz6 @ p/Y E S
25-05-2024 BANK 10.00 1,601.12
PT Y/ICIa13d5ae466334b99b13b b22786a96fbf/
UPI/414615112514/UPI/paytm qr19uzap5q/Y es Bank
25-05-2024 Ltd/ICIf2a0282aac484119a259fb3805c6ac69/ 35.00 1,566.12
UPI/451348255908/UPI/7017500092 @ axl/Bank of
27-05-2024 India/ICIa46d665e17bf4e b b b4f7042fe2041593/ 200.00 1,366.12
UPI/414713062027/UPI/q815531499 @ ybl/Y es Bank
27-05-2024 Ltd/ICI49e312610340486982fcf429b53236f2/ 10.00 1,356.12
UPI/414846809471/UPI/a mzn0010631252 @ /U nion
27-05-2024 Bank of I/ICI2170ad1b69f54b12b9c2558d2ace dfcc/ 80.00 1,276.12
UPI/414897214394/UPI/q935964350 @ ybl/Y es Bank
27-05-2024 Ltd/ICIfe4e47ccacd d48a8bcf38f7843a4d40f/ 8.00 1,268.12
UPI/414823518746/UPI/paytm.s10naz6 @ p/Y E S
27-05-2024 BANK 20.00 1,248.12
PT Y/ICIe11c7b e3843844c4b3b3025d5d3b b5e d/
UPI/414942239047/UPI/paytm qr550hx b @ p/Y es
28-05-2024 Bank Ltd/ICI0cda1a9019154048963a6b957e660b d d/ 25.00 1,223.12
UPI/414966248530/UPI/faizm alik544e @ o/H D F C
28-05-2024 BANK 20.00 1,243.12
LT D/H D F17828382418f42d29a7745166623ef49
UPI/451570664892/UPI/q846644174 @ ybl/Y es Bank
28-05-2024 Ltd/ICI677b d5f1512345e495fdfcdc9c4e8756/ 23.00 1,220.12
UPI/451561603410/Pay m ent fro m
28-05-2024 Ph/6397637102 @ ibl/State Bank O f 10.00 1,230.12
I/IBL5a23c720b56d44349622e450b e929772
UPI/415001869431/UPI/gpayrecharge @ ic/A M A N
29-05-2024 S A H A K ARI 300.90 929.22
B/ICI6596ab948b074d baa390070fa4e b5d44/
UPI/451602784205/UPI/m ushe erah m ad.68/H D F C
29-05-2024 BANK 21.00 908.22
LT D/ICI74d46a1b05d040ce8f296e e0f6131673/
UPI/451648583390/UPI/m ushe erah m ad.68/H D F C
29-05-2024 BANK 6.00 902.22
LT D/ICIa8c247cb34984a8c97304fe10098d e4a/
UPI/451619493421/UPI/paytm.s10naz6 @ p/Y E S
29-05-2024 BANK 40.00 862.22
PT Y/ICIa083e bc1c00f4efb b b2ab24e55c2d b d d/
UPI/451690210458/UPI/q637475188 @ ybl/Y es Bank
29-05-2024 Ltd/ICIdfb d73e7ae6c4c2f90808da22872f54d/ 20.00 842.22
UPI/415065008780/UPI/q637475188 @ ybl/Y es Bank
29-05-2024 Ltd/ICI49d76874ca604f2fb ef12d e36d e33f9d/ 1.00 841.22
UPI/451739439496/UPI/paytm qr28100505/Y es Bank
30-05-2024 Ltd/ICI1441131dfcb44f2f8f18421d9836bfd3/ 3.00 838.22
UPI/451787033818/UPI/q846644174 @ ybl/Y es Bank
30-05-2024 Ltd/ICId23d4500a2d441faa81a624d1678af77/ 10.00 828.22
UPI/415127954270/Pay to
30-05-2024 BharatPe/bharatp e.900687/F e d eral 10.00 818.22
Bank/ICI60f29565c7184d229bf6bae9e b4c1191/
UPI/415141250221/UPI/q461862259 @ ybl/Y es Bank
30-05-2024 Ltd/ICI5665f831d9354e e2a4e b22e b0d4f1e80/ 20.00 798.22
UPI/415158856689/UPI/gpay-1120063861/A xis Bank
30-05-2024 Ltd./ICI5f607ad8ad064270b8c80d1ac1dce d d7/ 14.00 784.22
UPI/415146553840/UPI/m ushe erah m ad.68/H D F C
30-05-2024 BANK 10.00 774.22
LT D/ICI100d6d e3c09d42d e b72fad d4fe8c7fb9/
 Page 5 of 6

MR.H ARS H V E ER SIN G H

DATE M O D E** P ARTIC ULARS D EP O SITS WIT H D R A W ALS B ALA N C E

UPI/415191468640/UPI/gpayrecharge @ ic/ICICI
30-05-2024 Bank/ICIb837f40d097344368e4645ae ec611b97/ 300.90 473.32
UPI/415121368171/UPI/paytm qr12ie77kj/Y es Bank
30-05-2024 Ltd/ICIb38fda9215fc46e9b5d601b d d0a7efb9/ 60.00 413.32
UPI/451755570152/UPI/paytm qrv51mjd3q/Y es Bank
30-05-2024 Ltd/ICI7d0754f08e dc446b955740b41ae4338e/ 60.00 353.32
UPI/415153767171/UPI/paytm qr16791c @ p/Y es
30-05-2024 Bank Ltd/ICIc8686d937e1e4e1fa11d e d5e b5e94d b b/ 10.00 343.32
M M T/IMPS/415207622481/Transafer
31-05-2024 M O BILE B A N KIN G Re que/BH ARTIP A Y /Y es Bank Ltd 1,061.00 1,404.32
UPI/415274173093/UPI/paytm qr550hx b @ p/Y es
31-05-2024 Bank Ltd/ICIf37e b4d ec10945388bacca7c183ad30a/ 20.00 1,384.32
UPI/451847181709/UPI/paytm qr28100505/Y es Bank
31-05-2024 Ltd/ICI13e3f094d9144611ac3fe e d b5bab0739/ 70.00 1,314.32
UPI/415293180622/Pay to
31-05-2024 BharatPe/bharatp e9072794/Y es Bank 30.00 1,284.32
Ltd/ICI0071559c3f2c4caaa1667429e04b498a/
UPI/415281187300/UPI/8057546111 @ okbi/A xis
31-05-2024 Bank Ltd./ICIb9a8226979fd4f7b87b7770b00805119/ 250.00 1,034.32
UPI/451873595902/UPI/paytm.s10mzuq @ p/Y E S
31-05-2024 B A N K PT Y/ICIa14f45ece62c442788b44f0017661f29/ 40.00 994.32
UPI/415297501779/UPI/paytm qr19rm83ws/Y es
31-05-2024 Bank Ltd/ICI512b6146f65142d d b94248d400f838c1/ 70.00 924.32
UPI/451839693278/UPI/q528228050 @ ybl/Y es Bank
31-05-2024 Ltd/ICI8b687ec54c994002ae e8e7e d18b928f5/ 30.00 894.32
UPI/451877195610/UPI/q753287044 @ ybl/Y es Bank
31-05-2024 Ltd/ICIf8efe9fe14f74d108b297e50b5262e27/ 38.00 856.32
M M T/IMPS/415221618720/Transafer
31-05-2024 M O BILE B A N KIN G Re que/BH ARTIP A Y /Y es Bank Ltd 3,258.00 4,114.32
UPI/415287808005/UPI/him anshurastogi/Utkarsh
31-05-2024 S m all F/ICIe74bfc999d5a4e3b82e d d8dcf626195a/ 4,000.00 114.32
UPI/415300027319/UPI/paytm qr550hx b @ p/Y es
01-06-2024 Bank Ltd/ICI90e2913b4d1f491e b bfbce d b825d773e/ 10.00 104.32
UPI/415326822027/UPI/9568531325m @ pnb/Punjab
01-06-2024 N ational/ICI79c82d07af7e4cf5bf14b6e eaf42002c/ 30.00 74.32
UPI/451986629654/Pay m ent fro m
01-06-2024 Ph/8057094293 @ ibl/H D F C B A N K 50.00 124.32
LT D/IBLd58ab d856913416fa45e3fe99119634e
UPI/451966431919/UPI/paytm qr19uzap5q/Y es Bank
01-06-2024 Ltd/ICI129e396f0e334f8088b2da4d1133d864/ 50.00 74.32
UPI/415332328939/UPI/paytm qr28100505/Y es Bank
01-06-2024 Ltd/ICId938b859f17e4723825324a68a2a5f14/ 10.00 64.32
UPI/451921359448/Pay m ent fro m
01-06-2024 Ph/6397637102 @ ibl/State Bank O f 50.00 114.32
I/IBLcc3b559b47e04b13bf4461f7da3b20ea
UPI/415348928540/UPI
01-06-2024 Pay m ent/m ukulonshre e @ fa/Tri O T ech/T O TB290153 50.00 164.32
5E1054 A 60B8D F2F FB90E05736
UPI/415309442418/UPI/gurd e e p2213bhul/A xis Bank
01-06-2024 Ltd./ICIdad55fd b ba3847549c8e21ca1293c94b/ 150.00 14.32
UPI/415323052626/UPI/faizm alik544e @ o/H D F C
01-06-2024 BANK 1.00 15.32
LT D/H D F2569e9b7b9d6456dac978864790a12ab
UPI/451975054941/UPI/m ushe erah m ad.68/H D F C
01-06-2024 BANK 10.00 5.32
LT D/ICIc3ca12d850b e47838c8a4e b313314f92/
UPI/415312102005/UPI
01-06-2024 Pay m ent/m ukulonshre e @ fa/Tri O T ech/T O T2E77F15 100.00 105.32
9C9FB4F1E8C E A 7B1C F61B85C F
UPI/451981360710/UPI/paytm qr16791c @ p/Y es
01-06-2024 Bank Ltd/ICI8838d5d95bfc410ea9d4b5e22513f2f3/ 30.00 75.32
T O T AL 17,333.00 29,733.41 75.32
 Page 6 of 6

MR.H ARS H V E ER SIN G H

A ccount Relate d O ther Inform ation

A C C O U N T T YPE A C C O U N T N U M BER MICR C O D E IF S C C O D E N A M E O F N O MIN E E
Savings 350801505524 262229502 ICIC0003508 -

N o mine e na m e is display e d only on sp ecific consent of custo m er.

Sincerely,

T ea m ICICI Bank.

This is a syste m-generate d state m ent. H ence, it d o es not re quire any signature.

Legends for transactions in y our account state m ent

V A T/M A T/N F S - Cash Withdra w al at other bank's A T M IN F - Internet funds transfer in Linke d accounts
EB A - Transaction at ICICIDirect BIL - Internet bill pay m ent or Funds transfer to third party
VPS/IPS - D e bit card transaction T O P - M o bile Recharge
RT G S - Real Tim e Gross S ettle m ent (Instant Transfer of Rs 2 Lakh and up to Rs 10 Lakh) N E F T - N ational Electronic Fund Transfer (U p to Rs 10 Lakh)
• **M o d e is available only for transaction d one after A ugust 6, 2013.

• A s p er pre vailing guid elines of the Inco m e tax A ct, 1961 if a valid P A N is not provid e d by the • In absence of valid P A N, F orm 15G / 15H shall not b e treate d as valid and tax will b e d e ducte d.
Custo m er then tax shall b e d e ducte d at the pre vailing rate or 20 % , w hiche v er is higher. • In case your P A N is not up date d in our record, please visit the nearest branch and provid e a co p y
• A s p er guid elines issue d b y CBD T on M ay 13, 2011, F orm 16 A (T D S C ertificates) will b e generate d of the P A N card along with the original P A N card for v erification.
through the Inco m e tax w e bsite for w hich the P A N of the custo m er ne e ds to b e necessarily up date d • The ad dress of the custo m er in F orm 16 A will b e the last up date d ad dress in the data base of the
in Bank's record. Inco m e tax d e partm ent.

RE G D A D DRE SS : “LA N D M ARK”, RA C E C O URS E CIRCLE, V A D O D ARA - 390 007, IN DIA w w w.icicibank.co m
This is an authenticate d intim ation/state m ent. Category of service : Banking & Financial S ervices.
Custo m ers are re queste d to im m e diately notify the Bank of any discre pancy in the state m ent Registration N o. MIV/S T/Bank & Finc/4.
M H W1-W B G-M-05-M ar-12/148405000053 - 525322040/207/207 - Utility - 1 of 1 P A N Base d S T C N o. A A A CI1195H SS T001.