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675100/251752/1-3/RESGS/03-31
Your Base Branch : JAIPUR PRATAP NAGAR BRANCH,
CIRCLE-1,RAJ HOUSING BOARD, SECTOR-5,PARATP
NAGAR, TONK ROAD, 303906
MR.ANUJ PATHAK
32 / 6 , SECTOR -3 ,PRATAP NAGAR
TONK ROAD , JAIPUR : Visit www.icicibank.com
JAIPUR
RAJASTHAN - INDIA - 302033 Å Dial your Bank 3366777

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 : 413306817 as on June 30, 2016

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c 675101015377 14,893.89 0.00 14,893.89 Not Registered

TOTAL 14,893.89 0.00 14,893.89

Statement of Transactions in Savings Account 675101015377 in INR for the period April 01, 2016 - June 30, 2016

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-04-2016 Balance Brought Forward 57,454.64
02-04-2016 MOBILE BANKING MMT/Ref609209605462/*****00000 5,000.00 62,454.64
02-04-2016 BANK CHARGES MABChgs-Feb16+ST 314.38 62,140.26
02-04-2016 DECS DR/3572856891/KMPL CF9481 7,530.00 54,610.26
04-04-2016 NET BANKING BIL/000945310446/Kotak credit card/KOTAK MAHINDRA 2,357.00 52,253.26
05-04-2016 NET BANKING BIL/000945995009/0120/9571237081/9571237081 100.00 52,153.26
08-04-2016 NET BANKING VIN/PAYTM /20160408141105/0 100.00 52,053.26
11-04-2016 NET BANKING VIN/PayTM /20160410192555/0 100.00 51,953.26
11-04-2016 ChqRtnChgs-Mar16+Stax 50.75 400.75 51,552.51
12-04-2016 MABChgs-Mar16+Stax 65.25 515.25 51,037.26
13-04-2016 CMS TRANSACTION CMS/ HDFC MUTUAL FUND 27,514.03 78,551.29
13-04-2016 CMS TRANSACTION CMS/ HDFC MUTUAL FUND 16,153.99 94,705.28
13-04-2016 NET BANKING IIN/Paytm /20160413172716 875.00 93,830.28
16-04-2016 ICICI ATM ATM/CASH WDL/16-04-16/0 20,000.00 73,830.28
18-04-2016 NET BANKING VIN/Kendriya Vi/20160418211811/0 1,815.00 72,015.28
20-04-2016 BY CASH - JAIPUR SINDHI CAMP 10,000.00 82,015.28
20-04-2016 MOBILE BANKING MMT/Ref611116448648/*****00000 4,000.00 86,015.28
25-04-2016 CHEQUE 142198 CANFIN HOMES LTD 13,400.00 72,615.28
25-04-2016 OTHER ATMS NFS/CASH WDL/25-04-16 8,000.00 64,615.28
26-04-2016 ICICI ATM ATM/CASH WDL/26-04-16/0 10,000.00 54,615.28
27-04-2016 OTHER ATMS NFS/CASH WDL/27-04-16 3,000.00 51,615.28
28-04-2016 TRFR FROM:TPIT INFOTECH 40.31 51,655.59
28-04-2016 ICICI ATM ATM/CASH WDL/28-04-16/0 6,000.00 45,655.59
02-05-2016 DECS DR/3893611019/KMPL CF9481 7,530.00 38,125.59
04-05-2016 TRFR FROM:SARLA PATHAK 80,000.00 1,18,125.59
04-05-2016 ICICI ATM ATM/CASH WDL/04-05-16/0 15,000.00 1,03,125.59
06-05-2016 NET BANKING VIN/RVVNLJP /20160506202249/0 6,967.32 96,158.27
06-05-2016 NET BANKING BIL/000964587635/Kotak bill pay/KOTAK MAHINDRA 2,353.00 93,805.27
09-05-2016 NET BANKING BIL/000965407127/D06103881371/103881371 875.00 92,930.27
12-05-2016 OTHER ATMS NFS/CASH WDL/12-05-16 10,000.00 82,930.27
16-05-2016 ICICI ATM ATM/CASH WDL/14-05-16/0 13,000.00 69,930.27
16-05-2016 SMSChgsapr16-jun16+Stax2.18 17.18 69,913.09
16-05-2016 NET BANKING VIN/PayTM /20160514175427/0 100.00 69,813.09
16-05-2016 OTHER ATMS NFS/CASH WDL/15-05-16 10,000.00 59,813.09
16-05-2016 OTHER ATMS NFS/CASH WDL/16-05-16 6,000.00 53,813.09
16-05-2016 OTHER ATMS NFS/CASH WDL/16-05-16 4,000.00 49,813.09
17-05-2016 ICICI ATM ATM/CASH WDL/17-05-16/0 2,000.00 47,813.09
17-05-2016 TRFR FROM:WI2FI NETWORKS 50,000.00 97,813.09
18-05-2016 ICICI ATM ATM/CASH WDL/18-05-16/0 11,000.00 86,813.09
Total: 1,92,708.33 1,63,349.88 86,813.09
 Page 2 of 3 M-251752

MR.ANUJ PATHAK

Statement of Transactions in Savings Account 675101015377 in INR for the period April 01, 2016 - June 30, 2016

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

18-05-2016 OTHER ATMS NFS/CASH WDL/18-05-16 10,000.00 76,813.09
18-05-2016 OTHER ATMS NFS/CASH WDL/18-05-16/Fee Rs20.00 ST Rs2.90 3,022.90 73,790.19
19-05-2016 OTHER ATMS NFS/CASH WDL/19-05-16/Fee Rs20.00 ST Rs2.90 9,022.90 64,767.29
20-05-2016 OTHER ATMS NFS/CASH WDL/20-05-16/Fee Rs20.00 ST Rs2.90 3,522.90 61,244.39
20-05-2016 ICICI ATM ATM/XFR CR/20-05-16/678301500733/0 5,000.00 66,244.39
21-05-2016 MOBILE BANKING MMT/Ref614212651154/*****00000 8,200.00 74,444.39
21-05-2016 OTHER ATMS NFS/CASH WDL/21-05-16/Fee Rs20.00 ST Rs2.90 5,022.90 69,421.49
21-05-2016 OTHER ATMS NFS/CASH WDL/21-05-16/Fee Rs20.00 ST Rs2.90 7,022.90 62,398.59
24-05-2016 OTHER ATMS NFS/CASH WDL/24-05-16/Fee Rs20.00 ST Rs2.90 3,522.90 58,875.69
24-05-2016 CHEQUE 142199 CANFIN HOMES LTD 13,400.00 45,475.69
24-05-2016 OTHER ATMS NFS/CASH WDL/24-05-16/Fee Rs20.00 ST Rs2.90 5,022.90 40,452.79
24-05-2016 NET BANKING IIN/Paytm /20160524184320 100.00 40,352.79
27-05-2016 OTHER ATMS VAT/CASH WDL/27-05-16/Fee Rs20.00 ST Rs2.90 5,022.90 35,329.89
30-05-2016 NET BANKING IIN/Paytm /20160528143205 100.00 35,229.89
30-05-2016 ICICI ATM ATM/CASH WDL/30-05-16/0 2,000.00 33,229.89
31-05-2016 NET BANKING IIN/Paytm /20160531180653 100.00 33,129.89
01-06-2016 DECS DR/4200855612/KMPL CF9481 7,530.00 25,599.89
01-06-2016 OTHER ATMS NFS/CASH WDL/01-06-16 3,000.00 22,599.89
03-06-2016 NET BANKING BIL/000980365440/D06103881371/103881371 875.00 21,724.89
06-06-2016 ICICI ATM ATM/CASH WDL/05-06-16/0 15,000.00 6,724.89
06-06-2016 NET BANKING IIN/Paytm /20160606210659 100.00 6,624.89
07-06-2016 NET BANKING BIL/000982553100/Kotak credit card/KOTAK MAHINDRA 2,450.00 4,174.89
09-06-2016 NET BANKING IIN/Paytm /20160609212402 100.00 4,074.89
13-06-2016 NET BANKING IIN/Paytm /20160612104413 100.00 3,974.89
13-06-2016 NET BANKING VIN/PAYTM /20160613211630/0 150.00 3,824.89
13-06-2016 NET BANKING IIN/Paytm /20160613212133 150.00 3,674.89
15-06-2016 ICICI ATM ATM/CASH WDL/15-06-16/0 1,500.00 2,174.89
17-06-2016 TRFR FROM:WI FI NETWORKS 25,000.00 27,174.89
20-06-2016 MOBILE BANKING MMT/617216920213/0000000000 13,400.00 40,574.89
21-06-2016 OTHER ATMS NFS/CASH WDL/21-06-16 2,000.00 38,574.89
23-06-2016 CHEQUE 142200 CAN FIN HOMES LTD 13,400.00 25,174.89
28-06-2016 OTHER ATMS NFS/CASH WDL/28-06-16 10,000.00 15,174.89
28-06-2016 NET BANKING IIN/Paytm /20160628210600 775.00 14,399.89
29-06-2016 675101015377:Int.Pd:30-03-2016 to 28-06-2016 494.00 14,893.89
TOTAL Total: 52,094.00 1,24,013.20 14,893.89

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of May, 2016
POINTS BALANCE*
NUMBER NUMBER
My Savings REWARD DEBIT CARD
675101015377 9401157154370401 31 0 1009
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on June 20, 2016, 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 675101015377 302229055 ICIC0006751 -
* Nominee name is displayed only on specific consent of customer.
 Page 3 of 3 M-251752

MR.ANUJ PATHAK

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
Subir Saha RTGS-Real Time Gross Settlement (Instant transfer above Rs 2 Lakh) NEFT- National Electronic Fund Transfer
Senior General Manager

• 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 and same capacity.
• In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
• In case your PAN is not updated in our record, please visit the nearest branch and provide a
copy of 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 base of
the income tax department.
• As per PMJJY, debit of Rs.289 is towards insurance premium collected on behalf of ICICI
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
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