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Page 1 of 3 M-7471812

233302/7471812/1-3/RESGB/09-1
Your Base Branch : ICICI BANK LTD., SHOP NO.1,
UMIYA EMPORIUM 97 HOSUR ROAD,
TAVAREKERE 560029
MR.SREENATH K
G6,PRASHANT RESIDENCY ,1ST FLOOR FLR,
CELEBRITY CLASSIC ,E CITY PHASE 1, : Visit www.icicibank.com
OPPOSITE TO VMARK SUPERMARKET
BANGALORE Dial your Bank 33667777
KARNATAKA - INDIA - 560100

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.

Summary of Accounts held under Cust ID : 539721712 as on February 28, 2017

ACCOUNT DETAILS - INR


ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c 233301503905 9,945.34 0.00 9,945.34 Registered

TOTAL 9,945.34 0.00 9,945.34

Statement of Transactions in Savings Account Number: 233301503905 in INR for the period February 01, 2017 - February 28, 2017

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


01-02-2017 B/F 120.36
01-02-2017 NET BANKING IIN/www.airtel./20170131235415 50.00 70.36
04-02-2017 MOBILE BANKING MMT/703509073674/9766041909 49,500.00 49,570.36
04-02-2017 DEBIT CARD VPS/E M STEELE /20170204102309/0 1,000.00 48,570.36
04-02-2017 MOBILE BANKING MMT/703512410904/9741853651 5,000.00 53,570.36
04-02-2017 MOBILE BANKING MMT/703512131458/9545472819 10,000.00 63,570.36
04-02-2017 MOBILE BANKING MMT/703512869458/chgRs5.00STRs0.75/591010100223 47,605.75 15,964.61
04-02-2017 DEBIT CARD VPS/AUTOMOBILIT/20170204185422/0 1,288.00 14,676.61
04-02-2017 DEBIT CARD VPS/VMARK RETAI/20170204223012/0 114.00 14,562.61
04-02-2017 MOBILE BANKING MMT/703517420119/9741853651 18,200.00 32,762.61
04-02-2017 NET BANKING VIN/BHARTI AIRT/20170204174303/0 154.00 32,608.61
04-02-2017 MOBILE BANKING MMT/703517420813/9741853651 25,000.00 57,608.61
04-02-2017 NET BANKING BIL/001141350359/To Sree From Pravi/NSP 5,000.00 62,608.61
231701515137/PRAVEEN P
04-02-2017 MOBILE BANKING MMT/703518348325/chgRs5.00STRs0.75/591010100223 60,005.75 2,602.86
04-02-2017 VSI/DIGITAL RIV/20170204201925/0 777.40 1,825.46
04-02-2017 DEBIT CARD VPS/CAFE COFFEE/20170204221116/0 548.00 1,277.46
06-02-2017 MOBILE BANKING MMT/703609838661/chgRs5.00STRs0.75/081210101756 1,005.75 271.71
06-02-2017 IPS REF DT 12-27.01.17-031280_ 3.75 275.46
06-02-2017 MOBILE BANKING MMT/703719459262/9741853651 5,000.00 5,275.46
06-02-2017 NET BANKING VIN/KERALARTC /20170206195850/0 426.00 4,849.46
06-02-2017 DEBIT CARD VPS/E.M. STEEL /20170206203144/0 1,500.00 3,349.46
06-02-2017 DEBIT CARD VPS/THALASSERY /20170207032247/0 150.00 3,199.46
07-02-2017 DEBIT CARD VPS/P T P FUELS/20170207221403/0 200.00 2,999.46
08-02-2017 REF COCO PALAKKAD 3.75 3,003.21
09-02-2017 NET BANKING VIN/BHARTI AIRT/20170209135035/0 349.00 2,654.21
09-02-2017 DEBIT CARD VPS/Royal Homen/20170209201001/0 77.00 2,577.21
10-02-2017 NET BANKING BIL/001145531540/ICICI BANK CREDIT CA/43755113387 2,540.00 37.21
10-02-2017 MOBILE BANKING MMT/704119154090/9741853651 15,000.00 15,037.21
10-02-2017 MOBILE BANKING MMT/704119154128/9741853651 35,000.00 50,037.21
10-02-2017 NET BANKING BIL/001146097716/Rent/NSP 14,500.00 35,537.21
10-02-2017 MOBILE BANKING MMT/704120155435/9741853651 50,000.00 85,537.21
10-02-2017 NET BANKING BIL/001146134480/ICICI BANK CREDIT CA/43755113387 50,565.93 34,971.28
10-02-2017 MOBILE BANKING MMT/704120005284/chgRs5.00STRs0.75/114110101426 14,005.75 20,965.53
10-02-2017 NET BANKING BIL/001146152174/PRAVEEN P/NSP 5,000.00 15,965.53
13-02-2017 MOBILE BANKING MMT/704212164413/9741853651 1,70,000.00 1,85,965.53
13-02-2017 DEBIT CARD VPS/WESTSIDE, /20170211190640/0 754.00 1,85,211.53
13-02-2017 NET BANKING VIN/GATIKBS IN /20170212113456/0 1,608.85 1,83,602.68
13-02-2017 DEBIT CARD VPS/E.M. STEEL /20170212132740/0 665.00 1,82,937.68
Total: 3,87,707.50 2,04,890.18 1,82,937.68
Page 2 of 3 M-7471812

MR.SREENATH K

Statement of Transactions in Savings Account Number: 233301503905 in INR for the period February 01, 2017 - February 28, 2017

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


13-02-2017 DEBIT CARD VPS/Thanima Res/20170212135545/0 410.00 1,82,527.68
13-02-2017 OTHER ATMS NFS/CASH WDL/12-02-17 1,500.00 1,81,027.68
14-02-2017 NET BANKING IIN/www.airtel./20170214115425 20.00 1,81,007.68
14-02-2017 REF E M STEELE FILLING STA 7.50 1,81,015.18
14-02-2017 REF E.M. STEEL FILLING STA 11.25 1,81,026.43
15-02-2017 MOBILE BANKING MMT/704611428777/chgRs15.00STRs2.25/000911400753 1,78,017.25 3,009.18
15-02-2017 ICICI ATM ATM/CASH WDL/15-02-17/0 500.00 2,509.18
15-02-2017 MOBILE BANKING MMT/704616243071/9741853651 5,000.00 7,509.18
15-02-2017 ICICI ATM ATM/CASH WDL/15-02-17/0 500.00 7,009.18
15-02-2017 DEBIT CARD VPS/TOUHID PASH/20170216001253/0 1,480.00 5,529.18
16-02-2017 NET BANKING IIN/Paytm Mobil/20170216133130 300.00 5,229.18
16-02-2017 NET BANKING IIN/PayTm Mobil/20170216224203 502.00 4,727.18
17-02-2017 NET BANKING IIN/Paytm Mobil/20170217132744 85.00 4,642.18
17-02-2017 MOBILE BANKING MMT/704816285439/9741853651 3,000.00 7,642.18
17-02-2017 MOBILE BANKING MMT/704817377245/chgRs5.00STRs0.75/081210101756 2,005.75 5,636.43
17-02-2017 DEBIT CARD VPS/SHELL PETRO/20170217192100/0 2,500.58 3,135.85
17-02-2017 DEBIT CARD IPS/SHUCHAYE /20170217212328/0 166.00 2,969.85
17-02-2017 ICICI ATM ATM/CASH WDL/17-02-17/0 500.00 2,469.85
18-02-2017 DEBIT CARD VPS/VASUDEV ADI/20170218102355/0 170.00 2,299.85
18-02-2017 DEBIT CARD IPS/MORIZ RESTA/20170218132354/0 858.00 1,441.85
18-02-2017 FC SBI DT 10.02.17 1.50 1,443.35
20-02-2017 DEBIT CARD VPS/CAFq@ SO SW/20170219124954/0 180.00 1,263.35
20-02-2017 NET BANKING VIN/PayU /20170220144513/0 599.00 664.35
20-02-2017 OTHER ATMS NFS/CASH WDL/20-02-17 500.00 164.35
21-02-2017 REF E.M. STEEL FILLING STA 4.99 169.34
22-02-2017 BY CASH - M.G. ROAD, BANGALORE 7,000.00 7,169.34
23-02-2017 DEBIT CARD VPS/THALASSERY /20170223231118/0 90.00 7,079.34
24-02-2017 NET BANKING IIN/www.airtel./20170224203104 157.00 6,922.34
27-02-2017 DEBIT CARD VPS/VILLAGE HYP/20170226123000/0 567.00 6,355.34
27-02-2017 DEBIT CARD VPS/THALASSERY /20170227002950/0 550.00 5,805.34
27-02-2017 OTHER ATMS NFS/CASH WDL/26-02-17 500.00 5,305.34
27-02-2017 NET BANKING IIN/Paytm Mobil/20170227115845 200.00 5,105.34
27-02-2017 DEBIT CARD VPS/CAFE COFFEE/20170227140408/0 360.00 4,745.34
28-02-2017 DEBIT CARD VPS/E M STEELE /20170228112050/0 200.00 4,545.34
28-02-2017 MOBILE BANKING MMT/705917473793/9741853651 5,500.00 10,045.34
28-02-2017 NET BANKING IIN/www.airtel./20170228222451 100.00 9,945.34
TOTAL Total: 20,525.24 1,93,517.58 9,945.34

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of January, 2017
POINTS BALANCE*
NUMBER NUMBER
My Savings REWARD DEBIT CARD
233301503905 9401162399254709 0 74 1020
To get current reward points balance and for other queries visit www.icicibank.com or call ICICI Bank Customer Care
* As on February 20, 2017, 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 233301503905 560229091 ICIC0002333 -
* Nominee name is displayed only on specific consent of customer.
Now update your Aadhar number by sending an SMS AADHAR <space>12 digit Aadhaar number <space> last 6 digits of Savings Account no. to 9222208888
from your registered mobile number or visit our branch.
Page 3 of 3 M-7471812

MR.SREENATH K

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.
W.e.f. June 1, 2016, Service Tax will be charged at 15% as Government of India has
introduced Krishi Kalyan Cess (KKC) of 0.5%. Please note Swachh Bharat Cess (SBC) of As per PMJJY, debit of Rs. 289 is towards insurance premium collected on behalf of ICICI
0.5% continues to be part of Service Tax. Prudential & Rs. 41 is towards administration charges by ICICI Bank (including Service Tax
@14%, SBC @ 0.5% & KKC @ 0.5%). 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.
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

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