Page 1 of 1 M-3116611

270700/3116611/1-1/RESGB/10-2
Your Base Branch : 1014,INDIRA PRIYADARSHINI
NAGAR, PERUMBAKKAM 600100
MR.SARAVANA PRABHU S
4/41 VELLEIYAPARAM SEENI
SATHYANAGAR : Visit www.icicibank.com
SIVAKASI
TAMIL NADU - INDIA - 626123 Å Dial your Bank 33667777

Did you know? It's mandatory to be KYC compliant as per RBI guidelines. If you have not submitted your KYC documents, please
visit the nearest branch or contact your Relationship Manager to complete KYC details for your Account.

Summary of Accounts held under Cust ID : 532239255 as on May 31, 2015

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c 270701500020 1.63 0.00 1.63 Not Registered

TOTAL 1.63 0.00 1.63

Statement of Transactions in Savings Account Number: 270701500020 in INR for the period May 01, 2015 - May 31, 2015

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-05-2015 Balance Brought Forward 1.63
07-05-2015 NEFT-IDIBH15127318800-LYRIC LABS INDIA P LTD-/ATTN 6,750.00 6,751.63
/NEFT/TRF-00000098741007685-IDIB000P077
07-05-2015 NET BANKING BIL/000764956840/0720/8760618495/8760618495 30.00 6,721.63
07-05-2015 OTHER ATMS NFS/CASH WDL/07-05-15 3,000.00 3,721.63
08-05-2015 NET BANKING BIL/000765083956/nice/0673301000040316 500.00 3,221.63
08-05-2015 NET BANKING BIL/000765081913/nice/0673301000040316 2,000.00 1,221.63
08-05-2015 OTHER ATMS NFS/CASH WDL/08-05-15 1,000.00 221.63
09-05-2015 NET BANKING BIL/000765858014/0720/8760618495/8760618495 20.00 201.63
12-05-2015 OTHER ATMS NFS/CASH WDL/12-05-15 200.00 1.63
TOTAL Total: 6,750.00 6,750.00 1.63

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of April, 2015
POINTS BALANCE*
NUMBER NUMBER
My Savings REWARD DEBIT CARD
270701500020 9401159781642707 0 0 63
To get current reward points balance and for other queries visit www.icicibank.com or call ICICI Bank Customer Care
* As on May 20, 2015, 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 IFSC CODE NAME OF NOMINEE*
Savings 270701500020 600229080 ICIC0002707 -
* 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
RTGS-Real Time Gross Settlement (Instant transfer above Rs 2 Lakh) NEFT- National Electronic Fund Transfer
Authorised Signatory

• As per prevailing guidelines of the Income tax Act, 1961 if a valid PAN is not provided by • In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
the Customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
• In case your PAN is not updated in our record, please visit the nearest branch and provide a
• As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be copy of the PAN card along with the original PAN card for verification.
generated through the Income tax website for which the PAN of the customer needs to be
necessarily updated in Bank's record. • The address of the customer in Form 16A will be the last updated address in the data base of
the Income tax department.
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 Ltd., 'Landmark', Race Course Circle, Vadodara - 390007, India. Registration No. MIV/ST/Bank & Finc/4.
PAN Based STC No. AAACI1195HSST001.
This is an authenticated intimation/statement. CIN : L65190GJ1994PLC021012
Customers are requested to immediately notify the Bank of any discrepancy in the statement ROG Dec_SOA_SLDP_CPCPN_SR56732755_121216