218605/76543125-1/1-4/RESGS/09-26

Your Base Branch : ICICI BANK LIMITED

BRANCH, 8/44, EAST MADA STREET,
MS.MYTHILI KALAIVANAN MYLAPORE, 600004
NO 1 698,VEERATHAMMAN KOVIL EAST,STREET,
JALLADIANPET,MEDAVAKKAM : Visit www.icicibank.com
CHENNAI
TAMIL NADU - INDIA - 600100 Å Dial your Bank 1800 1080

Never share your OTP, URN, CVV or passwords with anyone, even if the person claims to be a Bank employee.

STATEMENT SUMMARY for Customer ID : XXXXX7103 as on December 31, 2024

ACCOUNT DETAILS - INR

ACCOUNT TYPE ACCOUNT BALANCE (I) NOMINATION

Current A/c XXXXXXXX1221 0.00 Not Registered

Savings A/c XXXXXXXX9389 37,762.01 Not Registered

TOTAL 37,762.01

Note: Amount available for withdrawal from Operative Account includes Savings/Current Account Balance and principal amount of Linked Fixed Deposits.

Statement of Transactions in Savings Account XXXXXXXX9389 in INR for the period December 01, 2024 - December 31, 2024

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-12-2024 B/F 1,07,773.86

UPI/gowthaman9952-3/Sent from Paytm/Kotak Mahindra
01-12-2024 270.00 1,07,503.86
/433682969823/PTMa1e29ef97f82410fb8a30b39ec409302
UPI/q925045456@ybl/NA/Yes Bank
01-12-2024 Ltd/433683098016/PTM39575ae83204488abeddae07d587c4 120.00 1,07,383.86
cb/
UPI/gpay-1124512299/NA/AXIS
01-12-2024 BANK/433683693548/PTM0599b99541aa4a16ab01bcad4d64 45.00 1,07,338.86
84c4/
UPI/q839884758@ybl/NA/Yes Bank
01-12-2024 Ltd/433654747448/PTM91f47eb4a5584e84a77d40e7af145f2f 25.00 1,07,313.86
/
UPI/q269372367@ybl/NA/Yes Bank
01-12-2024 Ltd/433654935509/PTMac34f8bd257e4556b6c6ecbf28f4225d 30.00 1,07,283.86
/
UPI/q794288073@ybl/NA/Yes Bank
02-12-2024 Ltd/470304611488/PTMf94accd184cf4c4aaec2165d756669ee 50.00 1,07,233.86
/
UPI/q794288073@ybl/NA/Yes Bank
02-12-2024 Ltd/433704613880/PTM88da32966df54715b6b1c827024b40 30.00 1,07,203.86
57/
UPI/chennaimetrorai/UPIIntent/ICICI Bank LTD
02-12-2024 96.00 1,07,107.86
/381766126590/PPPL21728633894021224105633674d4509/
UPI/8124395579@ptsb/NA/State Bank Of
02-12-2024 170.00 1,06,937.86
I/433765636169/PTMdec6ce8c2c294f999c9d0fc11b123453/
ACH/TEAM EVEREST
02-12-2024 500.00 1,06,437.86
NGO/ICIC7022608200001059/EVERESTNGO18VYNDU4V8
UPI/q023690751@ybl/Sent from Paytm/Yes Bank
03-12-2024 63.00 1,06,374.86
Ltd/433813072499/PTMfb80d84fcfaf43f6a82ad70eed59a5d5/
UPI/8778111618@ptax/NA/ICICI
03-12-2024 Bank/433866433264/PTM01df206679e64dd9a4447a79109cb 250.00 1,06,124.86
929/
UPI/payair7673@ptyb/NA/Yes Bank
03-12-2024 10.00 1,06,114.86
Ltd/433879043528/PYTM41203803651469520909/
UPI/payair7673@ptyb/NA/Yes Bank
03-12-2024 300.80 1,05,814.06
Ltd/433816949230/PYTM41203803697573753865/
UPI/q023690751@ybl/NA/Yes Bank
04-12-2024 Ltd/470547731616/PTM1912bdbdfe91498589d0ef67a88cd30 20.00 1,05,794.06
e/
NFS/CASH
04-12-2024 OTHER ATMS 1,000.00 1,04,794.06
WDL/433912540680/CUB02302/KANCHEEPU/04-12-241243
NFS/CASH
04-12-2024 OTHER ATMS 10,000.00 94,794.06
WDL/433912541464/CUB02302/KANCHEEPU/04-12-241244
NFS/CASH
04-12-2024 OTHER ATMS 10,000.00 84,794.06
WDL/433912542345/CUB02302/KANCHEEPU/04-12-241245
NFS/CASH
04-12-2024 OTHER ATMS 10,000.00 74,794.06
WDL/433912543189/CUB02302/KANCHEEPU/04-12-241246
NFS/CASH
04-12-2024 OTHER ATMS 5,000.00 69,794.06
WDL/433912544010/CUB02302/KANCHEEPU/04-12-241247
Total: 0.00 37,979.80 69,794.06

Page 1 of 4 M-76543125-1
Statement of Transactions in Savings Account XXXXXXXX9389 in INR for the period December 01, 2024 - December 31, 2024

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/aajayan744@okic/Payment from Ph/BANK OF
04-12-2024 BARODA/281329985728/IBLb2950cc27da84d048888539b15 80.00 69,714.06
759856/
UPI/6379823607@axl/Payment from Ph/Union Bank of
04-12-2024 60.00 69,654.06
I/647180907474/IBLedc3829c65f34acfad86ed04fb47adbd/
04-12-2024 NET BANKING BIL/000938210568/Creditbill/437551313490300 51,189.98 18,464.08
UPI/bala200nsks@oki/UPI/ICICI
04-12-2024 11,000.00 29,464.08
Bank/433967766942/ICIf13353beae2f4f4b8774aa9befcc5a04
UPI/bala200nsks@oki/UPI/ICICI
04-12-2024 Bank/470554782347/ICI4a08e8dbcc7b46559410068bae9d25 1,000.00 30,464.08
ae
05-12-2024 CMS TRANSACTION CMS/Ashok Leyland/Ashok Leyland Limited.Int.Div 20 2.00 30,466.08
UPI/vallimuthiah@ok/UPI/ICICI
05-12-2024 2,000.00 32,466.08
Bank/434002482008/ICIbc77c30ff33f48c9978a13591332c8e7
UPI/Q023690751@ybl/Payment from Ph/Yes Bank
05-12-2024 Ltd/042832339210/IBLf56e8d01a15446988dd82727ed3c1790 51.00 32,415.08
/
05-12-2024 Personal Loan XX86195 EMI Myth 31,455.00 960.08
UPI/8428596145@ibl/Payment from Ph/CANARA
05-12-2024 BANK/074742855023/IBLe0370decde594278a972a336c47d7 100.00 860.08
2a5/
UPI/q846270960@ybl/NA/Yes Bank
07-12-2024 Ltd/434202523185/PTM04b8cc62f896454f9a9e110570ec3dd 19.00 841.08
3/
UPI/bala200nsks@oks/Nakku sethapaya/INDIAN
07-12-2024 BANK/434291323513/SBI7f0d5fc6c24a484fa3b3b49b62a60a 27,000.00 27,841.08
ea
UPI/q023690751@ybl/NA/Yes Bank
08-12-2024 Ltd/470923475466/PTMd10033e6f5694318af49bf4bd0bfc4e7 56.00 27,785.08
/
MMT/IMPS/434320411267/Monthly amount /Sudha
08-12-2024 MOBILE BANKING 7,000.00 20,785.08
K/DBSS0IN0488
UPI/paytmqr56ve6z@p/NA/Yes Bank
09-12-2024 Ltd/434445909350/PTMc340e4a1ff624ae7981b04599028989 40.00 20,745.08
2/
UPI/8778111618@ptax/NA/ICICI
10-12-2024 Bank/434546953426/PTM43b9fda5983f45588f0053caa01b94 200.00 20,545.08
93/
UPI/q023690751@ybl/NA/Yes Bank
11-12-2024 Ltd/434608871294/PTM71f56bda293f4318a210cfe726c1d79 47.00 20,498.08
9/
11-12-2024 BIL/BPAY/0000000YPYY0/BBPS/TATA PLAY/1477756 333.00 20,165.08
UPI/vallimuthiah@ok/Payment from Ph/ICICI
12-12-2024 Bank/052160439009/IBL3a5140fc579a4ce1b196240361abccf 2,000.00 18,165.08
1/
UPI/zomato.payu@axi/UPIIntent/AXIS
13-12-2024 BANK/262706974106/PPPL21839325226131224112530675b 231.20 17,933.88
cc52/
UPI/daeramesh@ybl/Payment from Ph/ICICI
14-12-2024 Bank/771665792821/IBL2a3eac96ce0e47518d067ff9aa6208c 15,000.00 2,933.88
d/
UPI/payair7673@ptyb/Sent using Payt/Yes Bank
16-12-2024 380.80 2,553.08
Ltd/435133105075/PYTM41216802808117921809/
UPI/paytmqr5citny@p/Sent using Payt/Yes Bank
16-12-2024 Ltd/435125200795/PTM1259db72a6254f778e0c7b05efecb86 20.00 2,533.08
a/
UPI/paytmqr5citny@p/Sent using Payt/Yes Bank
16-12-2024 Ltd/435142303897/PTM3898d71b7ef6406a9faa18937162d99 30.00 2,503.08
8/
UPI/8778111618@ptax/EB plus rent ba/ICICI
16-12-2024 Bank/435155862505/PTMd545e94ffd504fe1bee51f3a29d702 1,000.00 1,503.08
7a/
NEFT-AXNFCN0855052588-RZPX PRIVATE LIMITED
17-12-2024 ESCROWACCOUNT-NRP 28265056 BALAJI SURYA 9,000.00 10,503.08
DECE-9210200106
UPI/8778111618@ptax/Exchange plus e/ICICI
17-12-2024 Bank/435256762808/PTMa3541ca91da84908bd312e8910fb7 10,000.00 503.08
6b0/
UPI/bala200nsks@oki/UPI/ICICI
17-12-2024 Bank/435221953477/ICI7d7024c019c5435a95d5c317c6a8f13 8,200.00 8,703.08
0
NFS/CASH WDL/435220007603/P3ENMD76/CHENNAI
17-12-2024 OTHER ATMS 8,000.00 703.08
/17-12-242059
Total: 58,202.00 1,27,292.98 703.08

Page 2 of 4 M-76543125-1
Statement of Transactions in Savings Account XXXXXXXX9389 in INR for the period December 01, 2024 - December 31, 2024

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

NFS/CASH WDL/435221008065/P3ENMD76/CHENNAI
17-12-2024 OTHER ATMS 500.00 203.08
/17-12-242100
17-12-2024 BANK CHARGES ATMDEC CHG/22-10-2024/9586+GST 29.50 173.58
17-12-2024 BANK CHARGES ATMDEC CHG/22-10-2024/9586+GST 29.50 144.08
UPI/payair7673@ptyb/Sent using Payt/Yes Bank
18-12-2024 77.50 66.58
Ltd/435367612522/PYTM41218803308678417421/
UPI/q370495261@ybl/Sent using Payt/Yes Bank
18-12-2024 Ltd/435366406828/PTM2fdd001d487d4553ac6497ee8ad2323 55.00 11.58
d/
UPI/c.sankari04@oks/exchange/INDIAN
18-12-2024 BANK/435322598124/SBI4c1900b88c5a44eea0be81c085f3bd 500.00 511.58
d1
UPI/6383817331@ibl/Payment from Ph/INDIAN
18-12-2024 OVERSEAS/875483540934/IBL1ef4647b28204f2b86302c78a2 500.00 11.58
7e514f/
19-12-2024 BANK CHARGES ATMDEC CHG/22-10-2024/9586+GST 11.57 0.01
UPI/bala200nsks@oka/UPI/INDIAN
20-12-2024 BANK/472179003781/AXI927b080b95bf488893aef3470de60 200.00 200.01
45e
UPI/arusuvai6@fbl/Sent using Payt/FEDERAL
20-12-2024 BANK/435591290867/PTM3d744d3690ab49e0850bfd4dfcd8e 10.00 190.01
dfe/
UPI/q90765429@ybl/Sent using Payt/YES BANK
21-12-2024 LIMITE/435607706316/PTM528b2e55402743a8866ce27631f5 134.00 56.01
eea9/
UPI/paytmqr1hck20vk/NA/YES BANK
23-12-2024 LIMITE/435825590479/PTM5acdd1f9ef744120800b6cd767d0 40.00 16.01
4c2f/
UPI/c.sankari04@oks/Bay decor Bal/INDIAN
28-12-2024 BANK/436314733902/SBI2bde981b12b54f229b42b81630fc7d 2,823.00 2,839.01
ca
UPI/airtel-billpaym/AirtelDTHRechar/YES BANK
28-12-2024 260.00 2,579.01
LIMITE/584179749040/PYTM41228805633536892993/
UPI/airtel-prepaid./PrepaidRecharge/YES BANK
29-12-2024 299.00 2,280.01
LIMITE/842713628099/PYTM41229803024338631681/
UPI/9751252173@post/Pay Request/INDIA POST
30-12-2024 PAYM/436589693046/IPBfc466b1d27dd45608e35fdfe809979 6,000.00 8,280.01
80
UPI/jamunatextile@a/Payment from Ph/CANARA
30-12-2024 BANK/462858962909/IBL1c22a1322ee94cdda41303c28d7f81 400.00 7,880.01
40/
UPI/AIRTELPREDIRECT/Payment from Ph/AXIS
30-12-2024 BANK/924319780946/IBLc8160eb9606f4480a31a64f838079d 26.00 7,854.01
3e/
31-12-2024 218601509389:Int.Pd:30-09-2024 to 30-12-2024 775.00 8,629.01
NEFT-DEUTN52024123101020815-DHL GLOBAL
31-12-2024 FORWARDINGFREIGHT SHARED SERVICES INDIA 51,133.00 59,762.01
LLP-SALARY DECEMB
UPI/8270547468@ibl/Payment from Ph/State Bank Of
31-12-2024 6,000.00 53,762.01
I/544479559620/IBL088db3bf436c4114a8fb33174ce89034/
UPI/themadrassilksi/Schemepayment/HDFC BANK
31-12-2024 LTD/189089728347/IBL4a8e9ae47340406c85c7de42411be78 10,000.00 43,762.01
9/
UPI/gajaanandajewel/Payment from Ph/ICICI Bank LTD
31-12-2024 3,000.00 40,762.01
/155006397064/IBLaa55e828b44f4ad185231efc013fe287
UPI/gajaanandajewel/Payment from Ph/ICICI Bank LTD
31-12-2024 2,000.00 38,762.01
/914578880514/IBLd4d67e67d7cd4bfdbf3764708ca133c4
UPI/gajaanandajewel/Payment from Ph/ICICI Bank LTD
31-12-2024 1,000.00 37,762.01
/651632995354/IBLd8443838ab82494faeddee019729ec04
Total: 61,431.00 24,372.07 37,762.01

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*

Current XXXXXXXX1221 600229076 ICIC0002186 -

Savings XXXXXXXX9389 600229076 ICIC0002186 -

* Nominee name displayed only upon specific consent of the customer

Sincerely,

Team ICICI Bank

Page 3 of 4 M-76543125-1
 Legends for transactions in your Account Statement
VAT/MAT/NFS- Cash Withdrawal at other Bank's ATM INF - Internet fund transfer in linked Accounts
EBA / ISEC-Transaction at ICICIDirect BIL - Internet bill payment or funds transfer to third party
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.
You can now download the Account Statement using the iMobile Pay app and Internet Banking.
Card blocking procedure for Savings Account:
Through iMobile Pay: Log in to iMobile Pay>Debit Card> Services> Cards Services> Block/Unblock Debit Card
Through Personal Banking:1800-1080 >IVR > Voice Assist> Say ‘Card Block’ or press ‘0’ in the banking menu. > Enter details.
Through RIB: Service Request> Service List> Block Debit/ATM Card option> Select the Card You want to Block> Submit.
Card blocking procedure for Current Account:
Through InstaBIZ App: Log in to InstaBIZ > More > Services > Debit Card > Card Block / Unblock
Through Corporate Internet Banking > Service Request > Debit Card/Inquiry > Block Debit Card/Inquiry.
Account blocking procedure for Savings Account:
Through SMS: SMS ‘BLOCK’ <last three digits of your Account Number> to 9215676766
W.e.f Jul 1, 2023, a monthly limit will be applicable on ATM Cash Withdrawals using Debit Cards. (Minimum limit of Rs 2 lakh up to a maximum of Rs 7.5 lakh, as per product type). For details, please visit
https://www.icicibank.com/notice-board.

l There is a revision in the service charge for domestic Savings Accounts w.e.f. May 01, 2024. For details, l Do not fall prey to fictitious offers about winning prizes, money circulation schemes, cheap funds, etc. through SMS,
please visit https://www.icicibank.com/notice-board.page e-mails and calls.
l There is a change in the Terms and Conditions for Salary Accounts. For details, visit l As per the prevailing guidelines of the Income Tax Act, 1961, if valid PAN is not provided by the customer, then the
www.icicibank.com/managed-assets/docs/terms-condition/tnc-savings-account.pdf (Clause XV). Form 15G/15H will not be treated as valid and tax will be deducted at the prevailing rate or at 20%, whichever is
higher. PAN can be updated online or at the nearest ICICI Bank Branch .
l Bank’s Code of Commitment to its Customers and Micro and Small Enterprises (MSE): Please visit
www.icicibank.com > ‘About Us’ > ‘Notice Board’ > ‘Code of Commitment’. The Code has been framed as l The address of the customer in Form 16A will be the last updated address in the database of the income tax
per the guidelines provided by Banking Codes and Standards Board of India (BCSBI). department.
l As per the guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be generated l PMJJBY Insurance: The insurance premium is collected on behalf of ICICI Prudential Life Insurance Company Limited
through the Income tax website for which the PAN of the customer needs to be necessarily updated in the plus administration charges are collected by ICICI Bank (including GST), as per the existing laws. Effective Sep 01,
Bank's record. 2018, a premium is charged on a pro-rata basis for all new enrolments in the scheme. It is noteworthy that the
renewal premium for all existing customers will be charged for a period of one year (i.e. Rs 330) between May 25
l The depositor is insured by the Deposit Insurance and Credit Guarantee Corporation (DICGC) up to a
and May 31, every year. For details on the premium structure, refer to the Terms & Conditions under the Pradhan
maximum of Rs. 5 lakh, for both principal and interest amount held by him/her in the same right and same
Mantri Social Security Schemes at www.icicibank.com .
capacity.
l Please refer to the notice on our website regarding the revisions in IMPS charges for certain Current Account
l Please refer to the notice on our website regarding Monthly/ Quarterly Average Balance waiver for Retail
variants.For details, visit
Current Account (Business Banking) customers who have opted for the EMI option. For details,visit https://
https://www.icicibank.com/content/dam/icicibank/india/managed-assets/docs/service-charges/corporate/current-a
www.icicibank.com/content/dam/icicibank/india/managed-assets/docs/service-charges/corporate/current-
ccounts/notice-for-revision-in-imps-charges-for-current-account-customers-1.pdf
accounts/mabqab-waiver-notice.pdf
Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex, Mumbai - 400051, India. www.icicibank.com Page 4 of 4 M-76543125-1
Registered Office: ICICI Bank Tower, Near Chakli Circle, Old Padra Road, Vadodara, Gujarat. Pin – 390 007. Category of service: Banking & Financial Services.
Registration No. MIV/ST/Bank & Finc/4.
This is an authenticated intimation/statement.
CIN : L65190GJ1994PLC021012
Customers are requested to immediately notify the Bank in case of any error(s) in the statement. SR244554715