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Page 1 of 5 M-6197731
130202/6197731/1-5/RESGB/12-1
Your Base Branch : DUMDUM RD BRANCH, 268 1
DUMDUM ROAD 700074
MR.VIMAL KUMAR KHARWAR

121 DASPARA ROAD,LILUAH,HOWRAH,NR AUTO STAND,
* : Visit www.icicibank.com
HOWRAH
WEST BENGAL - INDIA - 711203 Å Dial your Bank 8101667777
NEVER SHARE your Card number, CVV, PIN, OTP, Internet Banking User ID, Password or URN with anyone, even if the caller claims to
be a bank employee. Sharing these details can lead to unauthorised access to your account.
STATEMENT SUMMARY for Customer ID : XXXXX0046 as on November 30, 2018
ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c XXXXXXXX3671 68,557.89 0.00 68,557.89 Not Registered
TOTAL 68,557.89 0.00 68,557.89
Statement of Transactions in Savings Account XXXXXXXX3671 in INR for the period November 01, 2018 - November 30, 2018
DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-11-2018 B/F 110.77
01-11-2018 UPI/830572995663/Payment from Ph/ashutoshkharwar/C 150.00 260.77
HATISGARH R G
01-11-2018 NET BANKING VIN/ICSI /20181101180823/0 250.00 10.77
02-11-2018 MOBILE BANKING MMT/IMPS/830609702508/MB: VIMAL KHARW/SURENDRA S/K 15,000.00 15,010.77
OTAK MAHINDRA
02-11-2018 UPI/830610567688/Payment from Ph/9831583019@ybl/CH 2,600.00 12,410.77
ATISGARH R G/
02-11-2018 NET BANKING IIN/PAYTM /20181102123400 210.00 12,200.77
02-11-2018 UPI/830616502365/Payment from Ph/9831110808@ybl/IC 500.00 11,700.77
ICI Bank/
02-11-2018 UPI/RVSL830616502365/Payment from Ph/9831110808@yb 500.00 12,200.77
l/ICICI Bank
02-11-2018 UPI/830616571618/Payment from Ph/9831110808@ybl/IC 500.00 11,700.77
ICI Bank/
02-11-2018 UPI/RVSL830616571618/Payment from Ph/9831110808@yb 500.00 12,200.77
l/ICICI Bank
02-11-2018 UPI/830640405572/Oid6434445696@P/add-money@paytm/P 498.00 11,702.77
aytm Payments/
aytm Payments/
03-11-2018 UPI/830736701184/Oid6440673116@P/add-money@paytm/P 1,500.00 10,002.77
aytm Payments/
03-11-2018 NET BANKING VIN/SBCOTHERBAN/20181103192506/0 50.00 9,952.77
05-11-2018 BANK CHARGES POSDEC CHG/21-10-2018/3296+GST 29.15 9,923.62
05-11-2018 UPI/830937342716/Payment made to/8272958995@mair/A 200.00 9,723.62
irtel Payments/
06-11-2018 UPI/831009304027/Payment from Ph/ashutoshkharwar/C 8,000.00 1,573.62
HATISGARH R G/
06-11-2018 NET BANKING VIN/CBSE /20181106143904/0 960.00 613.62
HATISGARH R G
HATISGARH R G/
06-11-2018 UPI/831034050600/Payment from Ph/9831110808@ybl/IC 3,500.00 113.62
ICI Bank/
Total: 24,150.00 24,147.15 113.62
Page 2 of 5 M-6197731

06-11-2018 UPI/RVSL831034050600/Payment from Ph/9831110808@yb 3,500.00 3,613.62
l/ICICI Bank
ICI Bank/
l/ICICI Bank
ICI Bank/
l/ICICI Bank
ICI Bank/
l/ICICI Bank
06-11-2018 UPI/831051516730/Payment from Ph/9831110808@ybl/IC 2,000.00 1,613.62
ICI Bank/
l/ICICI Bank
07-11-2018 UPI/831116533654/UPI/akkharwar93@oks/CHATISGARH R 3,000.00 513.62
G/
07-11-2018 UPI/831116554000/UPI/akkharwar93@oks/CHATISGARH R 500.00 13.62
G/
07-11-2018 UPI/831116865864/Clear/akkharwar93@oks/CHATISGARH 3,000.00 3,013.62
RG
07-11-2018 UPI/831116881598/UPI/akkharwar93@oks/CHATISGARH R 200.00 3,213.62
G
08-11-2018 NET BANKING IIN/I-Debit/West Beng/20181108115643 100.00 3,113.62
09-11-2018 BIL/ONL/001573833886/eazypayICI/18110940990745/roh 990.00 1,873.62
it
09-11-2018 UPI/831364768983/Payment from Ph/9163912232@ybl/CH 1,500.00 373.62
ATISGARH R G/
ATISGARH R G
09-11-2018 NET BANKING VIN/WBPSC /20181109202207/0 210.00 1,663.62
12-11-2018 NET BANKING VIN/ITBPF /20181110230638/0 100.00 1,313.62
12-11-2018 UPI/831535755530/Oid6500342248@O/paybil3066@payt/P 261.48 952.14
aytm Payments/
12-11-2018 UPI/831641421248/Oid6510391965@P/add-money@paytm/P 350.00 602.14
aytm Payments/
12-11-2018 NET BANKING VIN/rrcerSBIePa/20181112182814/0 100.00 502.14
14-11-2018 UPI/831811376916/UPI/akkharwar23-1@o/Bank of India 1,500.00 2,002.14
14-11-2018 UPI/831837620397/Oid6523891849@P/add-money@paytm/P 1,300.00 702.14
aytm Payments/
14-11-2018 NET BANKING VIN/NATIONAL TE/20181114142453/0 1,400.00 802.14
Total: 22,200.00 21,511.48 802.14
Page 3 of 5 M-6197731

14-11-2018 NET BANKING VIN/PaymentsPay/20181114182331/0 100.00 702.14
14-11-2018 NET BANKING IIN/I-Debit/West Beng/20181114185108 100.00 602.14
14-11-2018 NET BANKING VIN/POLICYBAZAA/20181114205508/0 1,806.00 596.14
15-11-2018 NET BANKING VIN/alliancebro/20181115103233/0 590.00 6.14
15-11-2018 MOBILE BANKING MMT/IMPS/831911965664/VIMAL KUMA/Paytm Payments 320.00 326.14
15-11-2018 NET BANKING VIN/IGNOU ADMIS/20181115112313/0 2,400.00 426.14
15-11-2018 NET BANKING VIN/PaymentsPay/20181115195350/0 25.00 1,676.14
16-11-2018 NET BANKING VIN/NATIONAL TE/20181116183309/0 1,400.00 176.14
16-11-2018 UPI/832020360313/Payment from Ph/8981308165@ybl/Ba 50.00 226.14
nk of India
16-11-2018 UPI/832020675686/UPI/akkharwar23-1@o/Bank of India 500.00 626.14
16-11-2018 NET BANKING IIN/I-Debit/West Beng/20181116201228 100.00 526.14
16-11-2018 NET BANKING VIN/NATIONAL TE/20181116205338/0 1,400.00 1,126.14
aytm Payments/
17-11-2018 NET BANKING VIN/Bihar Legis/20181117194717/0 100.00 831.14
aytm Payments/
17-11-2018 UPI/832144399116/Oid6551041537@O/paydth5848@payt/P 100.00 181.14
aytm Payments/
17-11-2018 UPI/832121296692/UPI/akkharwar23-1@o/Bank of India 500.00 681.14
17-11-2018 UPI/832145735556/Oid6551378678@O/paybil3066@payt/P 500.00 181.14
aytm Payments/
19-11-2018 UPI/832310065343/Anil/2anilprajapati@/Bank of Indi 3,000.00 3,181.14
a
19-11-2018 BIL/ONL/001580059394/IRCTC/ChgRs10 GSTRs1.80/10000 1,003.27 2,177.87
1537143554/t
19-11-2018 UPI/832320967734/NO REMARKS/8700388687@upi/ICICI B 2,250.00 4,427.87
ank
19-11-2018 BIL/ONL/001580472258/IRCTC/ChgRs10 GSTRs1.80/10000 632.78 3,795.09
1538320960
20-11-2018 BY CASH-LILUAH 4,600.00 8,395.09
20-11-2018 UPI/832442629387/Payment from Ph/170400010044669/P 2,000.00 6,395.09
unjab National/
20-11-2018 UPI/832456648716/Payment from Ph/50200032900901H/B 2,000.00 4,395.09
hilwara Urban/
20-11-2018 NET BANKING VIN/Bihar Legis/20181120144049/0 100.00 4,295.09
20-11-2018 NET BANKING VIN/Bihar Legis/20181120145517/0 25.00 4,270.09
20-11-2018 NET BANKING VIN/SSCOTHDRCAR/20181120165254/0 100.00 4,170.09
21-11-2018 UPI/832544917315/Payment from Ph/8083864359@ybl/Ka 130.00 2,491.83
shi Gomati Sa
Total: 20,650.00 18,960.31 2,491.83
Page 4 of 5 M-6197731

22-11-2018 BY CASH-KOLKATA,LILUAH 9,300.00 10,391.83
HATISGARH R G
22-11-2018 ICICI ATM ATM/CASH WDL/22-11-18/0 1,000.00 10,181.83
ATISGARH R G/
ATISGARH R G
23-11-2018 NET BANKING IIN/IRCTC /20181123094035 991.47 9,190.36
23-11-2018 UPI/832735235537/Oid6593757608@P/add-money@paytm/P 3,840.00 5,350.36
aytm Payments/
23-11-2018 NET BANKING IIN/IRCTC /20181123142157 901.47 3,048.89
aytm Payments/
23-11-2018 NET BANKING VIN/WBPSC /20181123193952/0 210.00 938.89
23-11-2018 UPI/832738224720/Payment from Ph/9903207693@ybl/CH 500.00 438.89
ATISGARH R G/
23-11-2018 UPI/832776358351/Payment from Ph/9903207693@ybl/CH 700.00 1,138.89
ATISGARH R G
26-11-2018 UPI/832811482662/Xerox/r9531305802-1@o/Bandhan Ban 3,000.00 4,109.39
k
26-11-2018 UPI/832817276771/UPI/billdesk.cesc@i/ICICI Bank 420.00 3,379.39
26-11-2018 UPI/832817957588/UPI/goog-payment@ok/Axis Bank Ltd 13.00 3,392.39
.
.
aytm Payments/
26-11-2018 NET BANKING VIN/TCSUPPRPBOT/20181125175648/0 400.00 2,202.39
ATISGARH R G
aytm Payments/
26-11-2018 NET BANKING IIN/I-Debit/West Beng/20181126220440 100.00 3,952.39
26-11-2018 BIL/ONL/001584688039/The Indo T/ITBPF_PICI69351/bi 100.00 3,852.39
kki shaw
27-11-2018 REF IGNOU ADMISSION FEE AC 360.00 4,212.39
27-11-2018 BIL/ONL/001585029343/Bharat San/BSNLPOST_PICI69/fr 371.00 3,841.39
ee
27-11-2018 UPI/833145758637/Oid6631087997@O/payide@paytm/Payt 10.00 3,831.39
m Payments/
27-11-2018 UPI/833145791046/Oid6631117915@O/payide@paytm/Payt 10.00 3,821.39
Total: 19,893.00 18,563.44 3,821.39
Page 5 of 5 M-6197731

m Payments/
28-11-2018 IPS REF DT 25.11.2018_025191_I 630.00 4,451.39
29-11-2018 REV UPI/833145791046 10.00 4,431.89
29-11-2018 BY CASH-LILUAH 42,600.00 47,031.89
29-11-2018 MOBILE BANKING MMT/IMPS/833319065356/MB: VIMAL KHARW/SURENDRA S/K 15,000.00 62,031.89
OTAK MAHINDRA
29-11-2018 UPI/833322451949/UPI/DUMMY NAME/CHATISGARH R G 200.00 61,031.89
29-11-2018 UPI/833322721844/UPI/kritikatradingc/CHATISGARH R 200.00 61,231.89
G
30-11-2018 NET BANKING VIN/IGNOU ADMIS/20181130132337/0 2,400.00 58,431.89
30-11-2018 UPI/833414719860/UPI/DUMMY NAME/CHATISGARH R G 8,000.00 50,431.89
.
.
30-11-2018 BY CASH-LILUAH 19,300.00 69,757.89
TOTAL Total: 77,766.00 13,029.50 68,557.89
REWARD POINTS SUMMARY
SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of October, 2018
POINTS BALANCE*
NUMBER NUMBER
My Savings REWARD DEBIT CARD
XXXXXXXX3671 XXXXXXXXXXXX4103 0 24 11323
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on November 20, 2018, 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 XXXXXXXX3671 700229064 ICIC0001302 -
* 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
Pranav Mishra RTGS-Real Time Gross Settlement (Instant transfer above Rs 2 Lakh) NEFT- National Electronic Fund Transfer
Senior General Manager
Retail Liabilities Group
• Bank’s Code of Commitment to Customers & Micro and Small Enterprises (MSE):To know • As per prevailing guidelines of the Income tax Act, 1961, if a valid PAN is not provided by the
about our code of commitment to customers, please visit www.icicibank.com > About Us customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
> Notice Board > Code of Commitment. The code has been framed in line with the
• In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
guidelines provided by Banking Codes and Standards Board of India (BCSBI).
• As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be • In case your PAN is not updated in our record, please visit the nearest branch and provide a
generated through the Income tax website for which the PAN of the customer needs to be copy of the PAN card, along with the original PAN card for verification.
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.
• Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation
(DICGC) up to a maximum of Rs. 1 lakh, for both principal and interest amount held by him • As per PMJJY, debit of Rs.289 is towards insurance premium collected on behalf of ICICI
in the same right and same capacity. Prudential & Rs.41 is towards administration charges by ICICI bank (including GST). For details
refer Terms and Conditions at 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 of any discrepancy in the statement
ROG_ SR128812020_DB_AS_SSen_26052019

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Page 1 of 5 M-6197731

MR.VIMAL KUMAR KHARWAR

STATEMENT SUMMARY for Customer ID : XXXXX0046 as on November 30, 2018

ACCOUNT DETAILS - INR

TOTAL 68,557.89 0.00 68,557.89

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

REWARD POINTS SUMMARY

Account Related Other Information

For ICICI Bank Limited

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