MR.

M KARTHIKEYAN
Your Base Branch : POLLACHI BRANCH, ICICI BANK
NO.4,PEEPAL TREE APARTMENT LIG COLONY,
PALLADAM ROAD,COIMBATORE DIST., 642002

2/73,1,SANGOTHI PALAYAM, ARASUR, PALLADAM TAL

LUK, NEAR RELIANCE PETROL BUNK, CBE
COIMBATORE Visit www.icicibank.com
TAMIL NADU - INDIA - 641407 Dial your Bank (Toll-free) 1800-103-8181

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 ba
employee. Sharing these details can lead to unauthorised access to your account.
Summary of Accounts held under Cust ID : XXXXX0997 as on June 30, 2018

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II)
Current A/c XXXXXXXX3340 0 0 0
Savings A/c XXXXXXXX5800 1105.08 0 1105.08
TOTAL 1105.08 0 1105.08
Statement of Transactions in Savings Account Number: XXXXXXXX5800 in INR for the period June 01, 2018 - June 30, 2018

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS

01-06-2018 B/F
01-06-2018 NET BANKING MIN/
25
Playgames24/20180601113259/
04-06-2018 NET BANKING MIN/
25
Playgames24/20180603152832/
06-06-2018 MOBILE BANKING MMT/815708849490/
8.9
chgRs5.00GSTRs0.90/330801000
12-06-2018 NEFT-N163180561909185-PLAY
200
GAMES 24X7 PRIVATE LIM
TED5705-RUMMYCIRCLE
EPAYMENT-01452560005705-
12-06-2018 ICICI ATM ATM/CASH WDL/12-06-18/0 200
13-06-2018 CASH DEPOSIT CAM/CASH DEPOSIT/
8000
COIMBATORE SIDDHAPUDUR
13-06-2018 NET BANKING BIL/001471893492/credit card
7975
pay/523951273432100
13-06-2018 NET BANKING MIN/
25
Playgames24/20180613160438/
19-06-2018 MOBILE BANKING MMT/817013255225/979131362
1000
6
19-06-2018 ICICI ATM ATM/CASH WDL/19-06-18/0 1000
21-06-2018 UPI/817220083176/Payment
500
from Ph/9047650003@ybl/Pu
njab National
22-06-2018 OTHER ATMS NFS/CASH WDL/22-06-18 500
29-06-2018 NEFT-N180180572870223-PLAY
380
GAMES 24X7 PRIVATE LIMI
TED5705-RUMMYCIRCLE
EPAYMENT-01452560005705-
29-06-2018 NET BANKING MIN/
25
Playgames24/20180629213707/
30-06-2018 611201505800:Int.Pd:30-03-2018
1
to 29-06-2018
30-06-2018 DEBIT CARD IPS/RELIANCE
255.83
FR/20180630102337/0
30-06-2018 MOBILE BANKING MMT/
1000
IMPS/818119019167/818118563
KAR BANK L

Total: 11081 10039.73

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of May, 2018
NUMBER NUMBER DEBIT
My Savings REWARD
CARD
XXXXXXXX5800 XXXXXXXXXXXX1407 0 6
To get current reward points balance and for other queries visit www.icicibank.com or call ICICI Bank Customer Care
* As on June 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 IFSC

CODE
Current XXXXXXXX3340 642229002 ICIC000611
2
ICIC000611
Savings XXXXXXXX5800 642229002
*Nominee name is displayed only on specific consent of customer. 2

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
Pranav Mishra

Senior General Manager

Retail Liabilities Group
• As per prevailing guidelines of the Income Tax Act, 1961, if a valid PAN is not provided by the
customer, then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
• As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be
generated through the Income tax website for which the PAN of the customer needs to be
necessarily updated in Bank's record.
• 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 in the same right • Rs.41 is towards administration charges by ICICI bank (including GST). For details refer T
and same capacity.
• In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be dedu
• In case your PAN is not updated in our record, please visit the nearest branch and provide
the PAN card, along with the original PAN card for verification.
• The address of the customer in Form 16A will be the last updated address in the data bas
income tax department.
As per PMJJY, debit of Rs.289 is towards insurance premium collected on behalf of ICICI
Conditions at www.icicibank.com

Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex, Mumbai - www.iciciban
400051, India. Category of service: Banking & Financial Serv
Registered Office: ICICI Bank Tower, Near Chakli Circle, Old Padra Road, Vadodara, Registration No. MIV/ST/Bank & Fin
Gujarat. Pin – 390 007. CIN : L65190GJ1994PLC02

This is an authenticated intimation/statement. ROG Dec_SOA_SLDP_CPCPN_SR56732755_1
Customers are requested to immediately notify the Bank of any discrepancy in the
 Your Base Branch : POLLACHI BRANCH, ICICI BANK LTD.
NO.4,PEEPAL TREE APARTMENT LIG COLONY,
PALLADAM ROAD,COIMBATORE DIST., 642002

Visit www.icicibank.com
Dial your Bank (Toll-free) 1800-103-8181

RN with anyone, even if the caller claims to be a bank

TOTAL BALANCE (I+II) NOMINATION

0 Not Registered
1105.08 Registered
1105.08
1, 2018 - June 30, 2018

WITHDRAWALS BALANCE

63.81
25 38.81

25 13.81

8.9 4.91
204.91

200 4.91

8004.91
7975 29.91

25 4.91

1004.91

1000 4.91

504.91

500 4.91

384.91

25 359.91
360.91

255.83 105.08

1105.08

10039.73 1105.08

POINTS BALANCE*
 360

NAME OF NOMINEE*
-
-

s in your account statement

INF-Internet funds transfer in Linked accounts
BIL-Internet bill payment or Funds transfer to third party
TOP- Mobile Recharge
NEFT- National Electronic Fund Transfer
PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
not updated in our record, please visit the nearest branch and provide a copy of
with the original PAN card for verification.
customer in Form 16A will be the last updated address in the data base of the
ment.
t of Rs.289 is towards insurance premium collected on behalf of ICICI Prudential &
dministration charges by ICICI bank (including GST). For details refer Terms and
icicibank.com

www.icicibank.com
Category of service: Banking & Financial Services.
Registration No. MIV/ST/Bank & Finc/4.
CIN : L65190GJ1994PLC021012

ROG Dec_SOA_SLDP_CPCPN_SR56732755_121218