530010361 as on July 15, 2014

Page 1 of 3
MHW1/181D/1-1/WBF-M/03-12
Your Base Branch:
MR.ASHISH SHRIVASTAVA
NEW GANDHI COLONY
DIST MORENA
MORENA
MADHYAPRADESH - INDIA - 476001
2/1, KRISHNA TOWER, OPP. CUREWELL
HOSPITAL,, NEW PALASIA, JANZIRWALA
SQUARE,, IND, MP, 452001
Visit www.icicibank.com
Dial your bank 09893208000
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 the KYC details for your Account.
Summary of Accounts held under Cust ID: 530010361 as on July 15, 2014
ACCOUNT DETAILS - INR
ACCOUNT TYPE
A/c BALANCE (I)
FIXED DEPOSITS (LINKED) BAL. (II)
TOTAL BALANCE (I+II)
Savings A/c 144101504523
19,169.50
0.00
19,169.50
TOTAL
19,169.50
0.00
19,169.50
NOMINATION
Registered
Statement of Transactions in Savings Account Number : 144101504523 in INR for the period April 16, 2014 - July 15, 2014
DATE
MODE**
PARTICULARS
15-05-2014
OTHER ATMS
Balance Brought Forward
NEFT-CITIN14432659477-GLOBAL
REMITTANCEOTHERS-Source NRE Funds
NEFT-CITIN14432659476-GLOBAL
REMITTANCEOTHERS-Source NRE Funds
NEFT-000015137046-SYSCRAFT
INFORMATION SYSTEM PVTLTNFS/CASH WDL/15-05-14
5,000.00
16,498.83
16-05-2014
ICICI ATM
ATM/CASH WDL/16-05-14/19:50:29/0
5,500.00
10,998.83
19-05-2014
OTHER ATMS
NFS/CASH WDL/18-05-14
1,500.00
9,498.83
21-05-2014
OTHER ATMS
NFS/CASH WDL/21-05-14
500.00
8,998.83
23-05-2014
OTHER ATMS
NFS/CASH WDL/23-05-14
2,000.00
6,998.83
02-06-2014
DEBIT CARD
VPS/SUNIL SERVI/20140602195226/0
200.00
6,798.83
16-04-2014
02-05-2014
02-05-2014
15-05-2014
06-06-2014
DEPOSITS
WITHDRAWALS
BALANCE
5,347.28
1.26
5,348.54
1.29
5,349.83
16,149.00
21,498.83
11.24
6,787.59
06-06-2014
DEBIT CARD
Dt:02/06/14 SUNIL SERVICE STAT
VPS/SAMRAT REST/20140606205459/0
448.00
6,339.59
09-06-2014
ICICI ATM
500.00
5,839.59
11-06-2014
ICICI ATM
ATM/CASH WDL/08-06-14/17:46:39/0
NEFT-000016070861-SYSCRAFT
INFORMATION SYSTEM PVTLTATM/CASH WDL/11-06-14/21:14:51/0
12-06-2014
DEBIT CARD
VPS/WOODLAND /20140612193503/0
12-06-2014
OTHER ATMS
NFS/CASH WDL/12-06-14
13-06-2014
OTHER ATMS
NFS/CASH WDL/13-06-14
16-06-2014
ICICI ATM
ATM/CASH WDL/15-06-14/22:31:25/0
17-06-2014
DEBIT CARD
19-06-2014
ICICI ATM
19-06-2014
DEBIT CARD
11-06-2014
20-06-2014
21,454.00
27,293.59
2,000.00
25,293.59
2,095.00
23,198.59
500.00
22,698.59
500.00
22,198.59
7,000.00
15,198.59
VPS/SAMRAT REST/20140617212140/0
660.00
14,538.59
ATM/CASH WDL/19-06-14/10:55:59/0
500.00
14,038.59
IPS/BIG BAZAAR /20140619184501/0
481.00
13,557.59
POSDEC CHG/01-05-14/5385/25ST3
28.09
13,529.50
3,000.00
10,529.50
159.00
10,370.50
21-06-2014
OTHER ATMS
23-06-2014
NET BANKING
25-06-2014
OTHER ATMS
NFS/CASH WDL/21-06-14
BIL/000607891221/Mobile net
recharge/365306861_PAY
NFS/CASH WDL/25-06-14
1,000.00
9,370.50
27-06-2014
DEBIT CARD
VPS/HOTEL SAMRA/20140627220411/0
748.00
8,622.50
30-06-2014
DEBIT CARD
VPS/BATA INDIA./20140629192909/0
250.00
8,372.50
30-06-2014
30-06-2014
144101504523:Int.Pd:30-12-2013 to 29-06-2014
DEBIT CARD
VPS/HOTEL CHAND/20140630210305/0
120.00
8,492.50
367.00
8,125.50
Page 2 of 3
MR.ASHISH SHRIVASTAVA
Statement of Transactions in Savings Account Number : 144101504523 in INR for the period April 16, 2014 - July 15, 2014
DATE
MODE**
PARTICULARS
03-07-2014
NET BANKING
BIL/000613082295/smart/RELIANCECOMM_MI
03-07-2014
OTHER ATMS
NFS/CASH WDL/03-07-14
07-07-2014
OTHER ATMS
NFS/CASH WDL/06-07-14
09-07-2014
ICICI ATM
ATM/CASH WDL/09-07-14/09:17:50/0
11-07-2014
OTHER ATMS
NFS/CASH WDL/11-07-14
NEFT-000017149048-SYSCRAFT
INFORMATION SYSTEM PVTLTATM/CASH WDL/12-07-14/16:33:04/0
300.00
5,786.50
12-07-2014
12-07-2014
ICICI ATM
DEPOSITS
WITHDRAWALS
BALANCE
39.00
8,086.50
500.00
7,586.50
500.00
7,086.50
1,000.00
6,086.50
21,383.00
TOTAL
59,108.55
SAVINGS ACCOUNT
NUMBER
LINKED PAYBACK
NUMBER
Points earned for the month of June 2014
MySavings REWARDS
DEBIT CARD
144101504523
9401157532314808
0
0
27,169.50
8,000.00
19,169.50
45,286.33
19,169.50
REWARD POINTS SUMMARY
POINTS BALANCE*
To get current reward points balance and for other queries visit www.icicibank.com
359
or call ICICI Bank Customer Care
*As on July 20, 2014, includes points earned through other PAYBACK partners
Points earned for the month will reflect with a lag of upto 50 days in the total point balance
Account Related Other Information
ACCOUNT TYPE
ACCOUNT NUMBER
MICR CODE
IFSC CODE
NAME OF NOMINEE
Savings
144101504523
452229007
ICIC0001441
-
Nominee name is displayed only on specific consent of customer.
For ICICI Bank Limited
Authorised Signatory
Page 3 of 3
MR.ASHISH SHRIVASTAVA
Legends for transactions in your account statement
VAT/MAT/NFS - Cash withdrawal at other bank’s ATMs
EBA - Transaction at ICICIDirect
VPS/IPS - Debit card transaction
RTGS - Real Time Gross Settlement (Instant Transfer of Rs 2 Lakh and up to Rs 10 Lakh)
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 (Up to Rs 10 Lakh)
** Mode is available only for transaction done after August 6, 2013.
• 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.
REGD ADDRESS: LANDMARK, RACE COURSE CIRCLE, VADODARA - 390 007, INDIA
This is an authenticated intimation/statement.
Customers are requested to immediately notify the Bank of any discrepancy in the statement
MHW1-WBG-M-05-Mar-12/148405000053 - 525322040/207/207 - Utility - 1 of 1
• 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.
www.icicibank.com
Category of service: Banking & Financial Services.
Registration No. MIV/ST/Bank & Finc/4.
PAN Based STC No. AAACI1195HSST001.