PRIVATE & CONFIDENTIAL

Page 1 of 6
Customer No.: 24151850
i$4#&d3=

e'dk
CS0BE501660000002F1728

PRIYANKA K MEHTA IFSC Code: DBSS0IN0811

114/5 SOWCAR GANGA APPARTMENTS MICR Code: 400641002
GANGADEESHWAR KOIL STREET, PURUSWALKAM
CHENNAI-600084 Branch Address:
TAMILNADU, INDIA DBS Bank India Limited
GROUND FLOOR,
EXPRESS TOWERS, NARIMAN POINT,
MUMBAI-400021
MAHARASHTRA, INDIA
Tel: +91-22-66388888

Dear Customer,

We are proud to announce that your favorite bank – DBS Bank, has now been voted as the “Safest bank in Asia” by Global Finance, for 13
consecutive years (2009 – 2021). In addition, DBS has also been recognized as the “Best Bank in the World” by Euromoney (2021), World's
Best Digital Bank by Euromoney (2021), Best Bank in India by Forbes(2021). .

As we seek to become a better bank for a better world, we remain committed to digitally transform and reimagine banking to help you live
more, bank less.

For safety of your bank accounts you are being reminded to exercise utmost secrecy for Passwords / PINs / Specimen Signatures at all times.

Wholly Yours,

Team DBS

Save with the Safest, Bank with the Best

Summary of Account Statement Period 01-Apr-2023 to 30-Apr-2023

Account Type Account No. Currency Account Balance Status Nomination Registered

SAVINGS 881040338880 INR 15,005.23 ACTIVE NO

*** End of Summary ***

PRIVATE & CONFIDENTIAL

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Important Abbreviations

ATD Withdrawal at Non-DBS ATM ATW Withdrawal at DBS ATM PCD Purchased

IB TRF Internet banking transfer MB TRF Mobile banking transfer AC TRF Account transfer

POS Point of Sales TD Term Deposit UPI Unified Payment Interface

IMPS Immediate payment service RTN Return INW Inward

OW Outward

Taxes as per applicable guidelines

Please update your GSTIN details at the link: https://go.dbs.com/GST

Closing balance includes funds earmarked for hold and uncleared funds.
This is a computer generated electronic statement and no signature is required. Please check this statement of account carefully. Unless we receive notification of any discrepancy or
inaccuracy with respect to the entries of this statement within 14 days from receipt of this statement, it shall be conclusive and binding on you. If you need any additional details or
clarifications related to transactions or any other information not otherwise visible in the statement, please login to digibank.

Please note in 2010, the United States enacted tax rules, commonly referred to as Foreign Account Tax Compliance Act (FATCA), which targets non-compliance of US tax laws by US
persons using overseas accounts. FATCA has come into force on 01Jul2014. Non-US financial institutions (including DBS Bank India Limited) are to identify and report on these persons
under the provisions of applicable US tax law, including FATCA.

Kindly note that under RBI notification 2019-2020/1878, dated 4 February 2020, the Deposit Insurance and Credit Guarantee Corporation (DICGC) has increased the insurance
coverage for depositors in all insured banks from Rs. 1 lakh to Rs. 5 lakh, with a view to provide a greater measure of protection to depositors.

If your DBS Bank India Limited debit card variant has an insurance cover, then you may visit our website www.dbs.com/india/ for the debit card insurance cover & policy details.
For any debit card insurance cover related queries or claims, please contact us. Alternatively, you can also connect with ICICI Lombard General Insurance Company Ltd.,at ICICI
Lombard House, 414 Veer Savarkar Marg, Near Siddhi Vinayak Temple, Prabhadevi, Mumbai -400 025 or call them at 18002666 (Toll Free) / 8655222666 (Chargeable).
__________________________________________________________________________________________________________________________________________________________________________________________________
Effective 1st July ’20 there will be a change in TDS, applicable for cash withdrawals. For details on the provisions, please refer email sent or visit our website
https://www.dbs.com/digibank/in/campaigns/TDS-on-cash-withdrawals.html
__________________________________________________________________________________________________________________________________________________________________________________________________
GST related information:

GSTIN for DBS Bank India Ltd. : 27AAGCD5838A1ZT

GSTIN of Service Recipient:

All digibank services are provided in state of Maharashtra: GST state code – 27

For place of supply, refer account holder’s address mentioned above and for corresponding state code refer code below :
Jammu And Kashmir - 1; Himachal Pradesh - 2; Punjab - 3; Chandigarh - 4; Uttarakhand - 5; Haryana - 6; Delhi - 7; Rajasthan - 8; Uttar Pradesh - 9; Bihar - 10; Sikkim - 11; Arunachal
Pradesh - 12; Nagaland - 13; Manipur - 14; Mizoram - 15; Tripura - 16; Meghalaya - 17; Assam - 18; West Bengal - 19; Jharkhand - 20; Odisha - 21; Chhattisgarh - 22; Madhya Pradesh -
23; Gujarat - 24; Dadra And Nagar Haveli And Daman And Diu* - 26; Maharashtra - 27; Andhra Pradesh (before division) - 28; Karnataka - 29; Goa - 30; Lakshadweep - 31; Kerala - 32;
Tamil Nadu - 33; Puducherry - 34; Andaman And Nicobar Islands - 35; Telangana - 36; Andhra Pradesh - 37; Ladakh – 38

* The State code for erstwhile UT of Daman and Diu was 25, prior to 26th January 2020.

SAC / HSN code – 9971; Service description – Financial and related services

Tax Payable on Reverse Charge Basis: NO

PRIVATE & CONFIDENTIAL

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Account Name: PRIYANKA K MEHTA

Account No.: 881040338880 Account Type: DIGISAVINGS
Statement Period: 01-Apr-2023 To 30-Apr-2023 Currency: INR

Transaction Date Value Date Details of transaction Debit Credit Balance

Opening Balance 83,779.50

01-Apr-2023 01-Apr-2023 UPI~345725833710~simpl@axb~Simpl 1,088.25 82,691.25

-AXBb320fdb670ef44bab6dbfaee2b5

01-Apr-2023 01-Apr-2023 UPI~309172445353~simpl@axb~Simpl 257.10 82,434.15

-AXBd8b1d35507df4d6182c544b465f

02-Apr-2023 02-Apr-2023 UPI~309213894555~rajkumarvernekar1@oka 1,200.00 81,234.15

xis~Rajkumar
-DBS837fdce6c5af490c9dede3b774e
03-Apr-2023 03-Apr-2023 UPI~309318957005~9090005566@ibl~Kaml 5,000.00 76,234.15
esh Mehta
-DBS202304031801378bc58ccad4d7d
05-Apr-2023 05-Apr-2023 UPI~309515837824~Q851992698@ybl~Phon 150.00 76,084.15
ePeMerchant
-DBS20230405151441429f91210fc8c
05-Apr-2023 05-Apr-2023 UPI~309517986875~paytmqr2810050501011i 12.00 76,072.15
n6a57udr15@p
-DBS6ce0a48b722f4d5b8ea2eb31e40
06-Apr-2023 06-Apr-2023 UPI~309612962099~BHARATPE099105977 10.00 76,062.15
58@yesbankltd~MO
-DBSb396409f9fa2401abf44cda03bd
06-Apr-2023 06-Apr-2023 Purchase-309609794634-060423 129.00 75,933.15
15:01:24-The Shakes Pier
-463237XXXXXX8389-931934
06-Apr-2023 06-Apr-2023 NEFTIN CMS3225465134 VAJRA SALARY 2,394.00 78,327.15
MARCH 2023 -ICICI BANK LIMITED
ICIC0000104
06-Apr-2023 06-Apr-2023 UPI~309619953630~devacbr250@oksbi~De 60.00 78,267.15
va Mass
-DBS26e97eb597bf4f51927fd699f4d
08-Apr-2023 08-Apr-2023 UPI~346412553653~simpl@axb~Simpl 1,059.00 77,208.15
-AXB3e15dd90996c414eb8deabc0ae5

08-Apr-2023 08-Apr-2023 UPI~309828006333~simpl@axb~Simpl 948.92 76,259.23

-AXBc67353ea512c480ca892093ba16

08-Apr-2023 08-Apr-2023 Purchase-309814512496-080423 349.95 75,909.28

19:40:49-RAZ*OneCard Pune
IN -463237XXXXXX8389-906053
10-Apr-2023 10-Apr-2023 UPI~310012909499~BHARATPE0991059775 20.00 75,889.28
8@yesbankltd~MO
-DBSf98896511e894f3b89b9ffb0c82
10-Apr-2023 10-Apr-2023 UPI~310013847540~Q67143499@ybl~Phone 150.00 75,739.28
PeMerchant
-DBS2023041013560263899b1ad9605
11-Apr-2023 11-Apr-2023 Purchase-310108732258-110423 65.00 75,674.28
14:16:36-The Shakes Pier
-463237XXXXXX8389-642677
12-Apr-2023 12-Apr-2023 UPI~310213900563~paytmqr2810050501011 140.00 75,534.28
ui7pyk2i21x@p
-DBSe7a0d77209a34482b383bf5287f
12-Apr-2023 12-Apr-2023 UPI~310218900481~premsathish061@okicici 26.00 75,508.28
~Prem Sathi
-DBS292e840f4be441878b6abef6e9d
13-Apr-2023 13-Apr-2023 UPI~310316825085~paytmqr2810050501011 12.00 75,496.28
ui7pyk2i21x@p
-DBS7f7870c6e52142ea81c3d300e87
13-Apr-2023 13-Apr-2023 NEFTIN N103230186157493 VAJRA 110.00 75,606.28
GLOBAL CONSULT -KARUR VYSYA BANK
KVBL0001265
PRIVATE & CONFIDENTIAL

Page 4 of 6

Transaction Date Value Date Details of transaction Debit Credit Balance

15-Apr-2023 15-Apr-2023 UPI~310513943663~azharshama22@okicici~ 1,341.00 74,265.28

Azhar Shama
-DBS111e54a339f143fe88ebe840438
15-Apr-2023 15-Apr-2023 UPI~310519837854~paytmqrzkng7bk2q7@p 388.00 73,877.28
aytm~Paytm
-DBSa110317eb6a74d51b3a1125f40b
16-Apr-2023 16-Apr-2023 UPI~310608905942~kamleshsmehta@axl~K 70.00 73,807.28
amlesh Mehta
-DBS20230416085839b3e29d7991da1
16-Apr-2023 16-Apr-2023 UPI~310617463927~myglamm25.rzp@icici~S 199.00 73,608.28
anghvi Beaut
-ICIc2b824a582c049f999b5a9c9bed
16-Apr-2023 16-Apr-2023 UPI~310657617782~razorpay.payouts@yesb 199.00 73,807.28
ank~Razorpay
-YESBF95CF65127656612E05400144F
16-Apr-2023 16-Apr-2023 UPI~310609249214~airtel.payu@hdfcbank~B 65.00 73,742.28
harti Airte
-HDF2C01212D6B5D46F5B3C9C3B7B7D
16-Apr-2023 16-Apr-2023 UPI~310600532509~simpl@axb~Simpl 36.00 73,706.28
-AXB488647cdaf4a4908895da05d452

16-Apr-2023 16-Apr-2023 UPI~310642949814~simpl@axb~Simpl 1,373.25 72,333.03

-AXB8a4c44af5e3a4c9787ed48ea38f

17-Apr-2023 17-Apr-2023 UPI~310758909763~jio@yesbank~Jio 15.00 72,318.03

Mobility
-YESBF962AE86DF033C09E05400144F
17-Apr-2023 17-Apr-2023 UPI~310713817810~Q67143499@ybl~PhoneP 150.00 72,168.03
eMerchant
-DBS20230417132655f239bd380894f
17-Apr-2023 17-Apr-2023 UPI~310717889448~paytmqr2810050501011 12.00 72,156.03
ui7pyk2i21x@p
-DBSee6cb21999bf41de982f38ec1a1
18-Apr-2023 18-Apr-2023 UPI~310810854268~ithomas.raj@ybl~Thoma 60.00 72,096.03
s Issac
-DBS20230418100748295f939e47f9c
18-Apr-2023 18-Apr-2023 UPI~310810911268~BHARATPE09910597758 10.00 72,086.03
@yesbankltd~MO
-DBS555710c7192a4dd1b7b7a058b1a
18-Apr-2023 18-Apr-2023 UPI~310813889134~gpay-11178676946@okbi 90.00 71,996.03
zaxis~Google
-DBS202304181321277676b39a21d63
18-Apr-2023 18-Apr-2023 UPI~310815818690~Q797573044@ybl~Phon 10.00 71,986.03
ePeMerchant
-DBS2023041815084570c496562058d
18-Apr-2023 18-Apr-2023 UPI~310861129493~jio@yesbank~Jio Mobility 15.00 71,971.03
-YESBF9572DE86D5F1327E05400144F

19-Apr-2023 19-Apr-2023 UPI~310912923652~Q813373392@ybl~Phone 67.00 71,904.03

PeMerchant
-DBS20230419125831e6ec846b7de2f
20-Apr-2023 19-Apr-2023 UPI~310921878473~Q62604111@ybl~PhoneP 9,780.00 62,124.03
eMerchant
-DBS20230419215239feb3b640544b2
20-Apr-2023 19-Apr-2023 ATM WITHDRAWAL 1,000.00 61,124.03
-04321047-GDKOVIL_PURASAWAKKAM_C
H -463237XXXXXX8389-20230419
20-Apr-2023 20-Apr-2023 UPI~311087419600~simpl@axb~Simpl 330.00 60,794.03
-AXB652c346291bb4c58a07c7ffefb7

20-Apr-2023 20-Apr-2023 DGB MF 1,000.00 59,794.03

PURCHASE~DB81124151850011/B303G~
-UT0003045471
20-Apr-2023 20-Apr-2023 DGB MF 500.00 59,294.03
PURCHASE~DB81124151850011/B313MP~
-UT0003045473
20-Apr-2023 20-Apr-2023 UPI~311013838128~Q797573044@ybl~Phone 12.00 59,282.03
PeMerchant
-DBS20230420132344bce899e311d46
PRIVATE & CONFIDENTIAL

Page 5 of 6

Transaction Date Value Date Details of transaction Debit Credit Balance

21-Apr-2023 21-Apr-2023 UPI~311117880936~PVRCINEMASOFFLINE@ 189.00 59,093.03

ybl~PVR Cinemas
-DBS202304211754596cfe9b6d90205
21-Apr-2023 21-Apr-2023 UPI~311118906978~Q644118136@ybl~PhoneP 150.00 58,943.03
eMerchant
-DBS202304211812015aa39795248b7
21-Apr-2023 21-Apr-2023 UPI~311118976109~PVRCINEMASOFFLINE@y 320.00 58,623.03
bl~PVR Cinemas
-DBS202304211855013fc89a2e4b07c
21-Apr-2023 21-Apr-2023 UPI~311121834898~PVRCINEMASOFFLINE@ 280.00 58,343.03
ybl~PVR Cinemas
-DBS20230421211508d20aabef032bb
21-Apr-2023 21-Apr-2023 UPI~311165595116~phonepemerchant@yesba 280.00 58,623.03
nk~PhonePe
-YESBF9D52E25A6A124ECE05400144F
22-Apr-2023 21-Apr-2023 UPI~311122931200~PVRCINEMASOFFLINE@ 280.00 58,343.03
ybl~PVR Cinemas
-DBS20230421222224be1e90860d824
22-Apr-2023 22-Apr-2023 UPI~311252282755~simpl@axb~Simpl 278.50 58,064.53
-AXBc87dc7f3bce9469281302fdf4ca

23-Apr-2023 23-Apr-2023 UPI~311363669778~simpl@axb~Simpl 158.00 57,906.53

-AXB6578460f656e4a2cb24d962c998

25-Apr-2023 25-Apr-2023 NEFTIN CMS3253844419 BIRLA SUNLIFE 985.36 58,891.89

MUTUAL FUND -ICICI BANK LIMITED
ICIC0000004
25-Apr-2023 25-Apr-2023 Purchase-311512693957-250423 249.91 58,641.98
18:08:31-Raz*OneCard PUNE IN
-463237XXXXXX8389-903708
25-Apr-2023 25-Apr-2023 ATM WITHDRAWAL 2,000.00 56,641.98
-04321047-GDKOVIL_PURASAWAKKAM_C
H -463237XXXXXX8389-20230425
26-Apr-2023 26-Apr-2023 Purchase-311603854049-260423 2.00 56,639.98
08:32:11-UBER INDIA SYSTEMS PRI
NOIDA IN -463237XXXXXX8389-296707
26-Apr-2023 26-Apr-2023 Purchase-311603855197-260423 2.00 56,637.98
08:33:07-UBER INDIA SYSTEMS PRI
NOIDA IN -463237XXXXXX8389-264017
26-Apr-2023 26-Apr-2023 Purchase-311503737289-260423 199.08 56,438.90
08:35:51-UBERINDIASYSTEMSPRIVAT
1204770770 IN
-463237XXXXXX8389-300762
26-Apr-2023 26-Apr-2023 Reversal-Purchase 199.08 56,637.98
-S28868XX6/26-04-2023

26-Apr-2023 26-Apr-2023 UPI~311609986648~vsri9358@okhdfcbank~ 256.00 56,381.98

Srinivasan N
-DBS2b0950cfb482402197df76ae6f8
26-Apr-2023 26-Apr-2023 Purchase-311607261825-260423 75.00 56,306.98
13:13:42-The Shakes Pier CHENNAI
IN -463237XXXXXX8389-415733
27-Apr-2023 27-Apr-2023 NEFTIN CMS3257439577 BIRLA SUNLIFE 496.50 56,803.48
MUTUAL FUND -ICICI BANK LIMITED
ICIC0000004
27-Apr-2023 27-Apr-2023 Purchase-311707500799-270423 100.00 56,703.48
13:00:07-The Shakes Pier CHENNAI
IN -463237XXXXXX8389-121111
27-Apr-2023 27-Apr-2023 UPI~311717986836~paytm-64670120@payt 10.00 56,693.48
m~Indian Railw
-DBS202304271754487cea94b77762f
27-Apr-2023 27-Apr-2023 UPI~311719889772~svvidyasagar@okhdfcba 43.00 56,650.48
nk~Vidyasaga
-DBSab909b811b544425811eb7ef55c
27-Apr-2023 27-Apr-2023 UPI~348310040977~simpl@axb~Simpl 425.25 56,225.23
-AXB8ee4d9b565c6491b80dbdcb6ce1

28-Apr-2023 28-Apr-2023 UPI~311818841693~paytm-64670120@paytm 10.00 56,215.23

~Indian Railw
-DBS202304281808305ef282ecb875e
PRIVATE & CONFIDENTIAL

Page 6 of 6

Transaction Date Value Date Details of transaction Debit Credit Balance

28-Apr-2023 28-Apr-2023 UPI~311820902329~paytmqr281005050101a 1,700.00 54,515.23

hr29zolgof7@p
-DBS74d03ebc121148dd8c2671c6fa0
29-Apr-2023 29-Apr-2023 UPI~311912861959~paytmqr2810050501011lx 70.00 54,445.23
ug5htgrv8@p
-DBS0dcd6de5734841cdaf0aaf4436c
29-Apr-2023 29-Apr-2023 Purchase-311907069976-290423 4,040.00 50,405.23
12:31:48-SARAVANA STORES TEX
CHENNAI IN
-463237XXXXXX8389-982774
29-Apr-2023 29-Apr-2023 UPI~311949600893~nestaway560.rzp@icici~ 2,000.00 48,405.23
Nestaway
-ICI88fa07df6a6042edb04aaa6b202
29-Apr-2023 29-Apr-2023 UPI~311949707858~nestaway560.rzp@icici~ 17,900.00 30,505.23
Nestaway
-ICI407d55563d9a41e5944e21651ca
29-Apr-2023 29-Apr-2023 UPI~311923820278~sethupathi92401@axl~Se 15,500.00 15,005.23
thupathi
-DBS20230429233649a13d8ea1cae84
Closing Balance 15,005.23

*** End of Statement ***