Date: 13 Jan 2020

JERIN VINCENT
MOOTHEDAN HOUSE
KOMBODINJAMAKKAL

THRISSUR

Account Statement

Customer Name JERIN VINCENT

Branch Name KOMBODINJAMAKKAL
Account Number 5897101000042
Customer Id 89985326
Balance B/F 351.31
Closing Balance 5845.83

Account Statement for the period 13 Oct 2019 to 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
14 Oct 2019 05:43:07 AM 14 Oct 2019 928705900681 KODAKARAPETROPARKTHRISSURKLIN-14/10/19
33 200.00 0.00 151.31
05:43:07/1154
14 Oct 2019 05:51:53 AM 14 Oct 2019 928705850306 GURUVAYOORINFRASTRUCTTHRISSURIN-14/10/19
33 105.00 0.00 46.31
05:51:53/1154
14 Oct 2019 06:27:22 PM 14 Oct 2019 000000000000 REFUND-TR DT 07/10/2019SEQ 6721 1912 0.00 3.75 50.06
14 Oct 2019 06:45:22 PM 14 Oct 2019 928718821129 UPI/928718821129/ 33 0.00 500.00 550.06
HDFb59e0b3bacdc4a919fae74cfe5fe3595/14/10/2019
18:45:22/donjerom-1@okhdfcbank/
bluestonelive@oksbi/Credi
14 Oct 2019 07:42:59 PM 14 Oct 2019 928719146287 UPI/928719146287/ 33 500.00 0.00 50.06
SBId9b97be0d1814c6282a3b1a9754b82b7/14/10/2019
19:42:59/bluestonelive@oksbi/
deepaktharayil111-1@oksbi/D
16 Oct 2019 10:38:57 PM 16 Oct 2019 928922778229 UPI/928922778229/ 33 49.00 0.00 1.06
SBI53c5a9ee4cf3417c99c1289cf06b750c/
16/10/2019 22:38:57/bluestonelive@oksbi/
billdesk.idea-prepaid@icici

1
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
18 Oct 2019 09:40:02 PM 18 Oct 2019 929121994962 MB-IMPS CREDIT 06700450- 18/10/19 33 0.00 16.00 17.06
21:40:02
18 Oct 2019 09:49:00 PM 18 Oct 2019 929121804154 UPI/929121804154/ 33 16.00 0.00 1.06
SBI984e3fbd69634bc9be2de9fb19f7d214/18/10/2019
21:49:00/bluestonelive@oksbi/billdesk.idea-
prepaid@icici
19 Oct 2019 04:32:48 PM 19 Oct 2019 000000000000 REFUND-TR DT 14/10/2019SEQ 0681 1912 0.00 1.50 2.56
19 Oct 2019 04:55:05 PM 19 Oct 2019 929216155124 UPI/929216155124/ 33 0.00 16.00 18.56
ICIe5e93980d7b24ca29ba7a2bf416b4bf0/19/10/2019
16:55:05/billdesk-tez@icici/
5897101000042@CNRB0000000.if
25 Oct 2019 12:26:33 AM 25 Oct 2019 929812162825 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-25/10/19
33 16.00 0.00 2.56
12:26:33/1154
27 Oct 2019 01:12:58 PM 27 Oct 2019 930013116602 UPI/930013116602/ 33 0.00 800.00 802.56
SBIff24f21957b544a3b8dd07a7d1c21ebd/
27/10/2019 13:12:58/tomyjosephy@oksbi/
bluestonelive@oksbi/Credit
27 Oct 2019 07:42:03 PM 27 Oct 2019 930019097180 UPI/930019097180/ 33 0.00 1.00 803.56
HDFd0b888b4abae47c782890776ce658c35/27/10/2019
19:42:03/lijukuttikkadan@okhdfcbank/
bluestonelive@oksbi/
27 Oct 2019 07:44:15 PM 27 Oct 2019 930019106425 UPI/930019106425/ 33 0.00 20,000.00 20,803.56
HDF4c4742e2a5374dadaf492caa67af3e3c/
27/10/2019 19:44:15/
lijukuttikkadan@okhdfcbank/
bluestonelive@oksbi/
27 Oct 2019 07:47:02 PM 27 Oct 2019 930019119598 UPI/930019119598/ 33 0.00 10,000.00 30,803.56
HDF320ead9f444c442c98d1693ba0acfae2/27/10/2019
19:47:02/lijukuttikkadan@okhdfcbank/
bluestonelive@oksbi/
27 Oct 2019 10:16:58 PM 27 Oct 2019 930022550242 MB-IMPS DEBIT 06700450- 27/10/19 33 30,000.00 0.00 803.56
22:16:58
27 Oct 2019 10:40:13 PM 27 Oct 2019 930022187783 UPI/930022187783/ 33 0.00 500.00 1303.56
ICI478199900fe648aea39dc47daf170cea/
27/10/2019 22:40:13/robinravindran@okicici/
bluestonelive@oksbi/Cred
27 Oct 2019 10:41:17 PM 27 Oct 2019 930022081262 UPI/930022081262/ 33 500.00 0.00 803.56
SBIed3e78c1e3804a8391e730d06816a1d2/27/10/2019
22:41:17/bluestonelive@oksbi/
robinravindran@oksbi/Debit

2
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
27 Oct 2019 10:42:01 PM 27 Oct 2019 930022504863 UPI/930022504863/ 33 0.00 17.00 820.56
AXI1d5250cf20b34e70966d8f6e08f883d1/27/10/2019
22:42:01/goog-payment@okaxis/
bluestonelive@oksbi/Credit
27 Oct 2019 10:43:48 PM 27 Oct 2019 930022199499 UPI/930022199499/ 33 0.00 500.00 1320.56
ICI8d86b8956d954d588f3a0cc671460a17/27/10/2019
22:43:48/robinravindran@okicici/
bluestonelive@oksbi/Cred
27 Oct 2019 10:44:25 PM 27 Oct 2019 930022097231 UPI/930022097231/ 33 500.00 0.00 820.56
SBI686ca95ff1f94c3c95453641934efa43/27/10/2019
22:44:25/bluestonelive@oksbi/
robinravindran@oksbi/Debit
28 Oct 2019 10:58:23 AM 28 Oct 2019 000000000000 APY Contri for(501005660305)02-2019 49 293.00 0.00 527.56
28 Oct 2019 10:58:24 AM 28 Oct 2019 000000000000 APY Contri for(501005660305)03-2019 49 290.00 0.00 237.56
28 Oct 2019 12:04:27 AM 28 Oct 2019 930112002853 ATM INSUFFICIENT FUND CHARGES 33 24.00 0.00 213.56
29 Oct 2019 02:47:12 PM 29 Oct 2019 930214255152 UPI/930214255152/ 33 0.00 400.00 613.56
ICI496dfa9befd942b9bc5def752fdd92bc/
29/10/2019 14:47:12/robinravindran@okicici/
bluestonelive@oksbi/Cred
29 Oct 2019 03:09:33 PM 29 Oct 2019 930215058034 ATM Cash-01960005- 33 500.00 0.00 113.56
CSBASHTAMICHIRATHRISSURKLIN-29/10/19
15:09:33/1154
29 Oct 2019 06:14:23 PM 29 Oct 2019 930218631786 FUELHOUSEKOCHITNIN-29/10/19 33 100.00 0.00 13.56
18:14:23/1154
01 Nov 2019 03:26:49 AM 31 Oct 2019 SBINT FOR THE PERIOD FROM01- 5897 0.00 29.00 42.56
AUG-19 TO 31-OCT-19
02 Nov 2019 07:14:34 PM 02 Nov 2019 930619248481 MB-IMPS CREDIT 06700450- 02/11/19 33 0.00 2000.00 2042.56
19:14:34
02 Nov 2019 07:39:33 PM 02 Nov 2019 930619012607 ATM Cash-70170014- 33 2000.00 0.00 42.56
KUZHIKKATTUSSERYMUKUNDAPURAMKLIN-02/11/19
19:39:33/1154
03 Nov 2019 09:47:41 PM 03 Nov 2019 930721571959 UPI/930721571959/ 33 0.00 300.00 342.56
AXI87edeef3445b455883ff420de69151ee/
03/11/2019 21:47:41/rejeesh.g956@okaxis/
bluestonelive@oksbi/Credit
04 Nov 2019 05:31:59 PM 04 Nov 2019 930817101096 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-04/11/19
33 50.00 0.00 292.56
17:31:59/1154
04 Nov 2019 06:10:41 PM 04 Nov 2019 930818126987 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-04/11/19
33 50.00 0.00 242.56
18:10:41/1154

3
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
04 Nov 2019 07:48:28 PM 04 Nov 2019 930819164560 UPI/930819164560/ 33 0.00 13,000.00 13,242.56
AXIae11d0d843564d77a3f4f217e9257509/04/11/2019
19:48:28/challenge.en@okaxis/
bluestonelive@oksbi/Credit
04 Nov 2019 08:13:28 PM 04 Nov 2019 930820462104 UPI/930820462104/ 33 200.00 0.00 13,042.56
SBI751ee0a3006b47a1afefdafffaabe76b/
04/11/2019 20:13:28/bluestonelive@oksbi/
sreejithvava7@oksbi/Debit
04 Nov 2019 08:15:13 PM 04 Nov 2019 930820582060 UPI/930820582060/ 33 0.00 7.00 13,049.56
AXI235e8c36bcd946bfb5592184c56ebbc7/04/11/2019
20:15:13/goog-payment@okaxis/
bluestonelive@oksbi/Credit
05 Nov 2019 11:51:33 AM 05 Nov 2019 000000000000 ECS MahindraandMahindraF 5897 6550.00 0.00 6499.56
05 Nov 2019 01:36:24 PM 05 Nov 2019 000000000000 ECS BFL 6S00CDEQ745587 263 2188.00 0.00 4311.56
05 Nov 2019 05:42:07 PM 05 Nov 2019 930917018495 SIVASAKTHIFUELSTRICHURKEIN-05/11/1933 300.00 0.00 4011.56
17:42:07/1154
05 Nov 2019 10:52:51 PM 05 Nov 2019 930922495692 UPI/930922495692/ 33 0.00 150.00 4161.56
ICIda676dba56f34d18a6ad4ee911290a84/05/11/2019
22:52:51/aniemoljoy71@okicici/
bluestonelive@oksbi/Credit
05 Nov 2019 10:59:04 PM 05 Nov 2019 930922262520 UPI/930922262520/ 33 150.00 0.00 4011.56
SBI2f84da9973684fb4bfd373f8ca8a8a26/05/11/2019
22:59:04/bluestonelive@oksbi/
aniemoljoy71@okicici/Debit
05 Nov 2019 11:03:10 PM 05 Nov 2019 930923024675 UPI/930923024675/ 33 0.00 36.00 4047.56
ICIbf326b03533b4b2097c5d70042fe3672/05/11/2019
23:03:10/aniemoljoy71@okicici/
bluestonelive@oksbi/Credit
05 Nov 2019 11:03:56 PM 05 Nov 2019 930923279654 UPI/930923279654/ 33 36.00 0.00 4011.56
SBI149ab45f05c1475aa5cd390a815c99f5/05/11/2019
23:03:56/bluestonelive@oksbi/
aniemoljoy71@okicici/Debit
06 Nov 2019 01:42:11 PM 06 Nov 2019 931013671452 UPI/931013671452/ 33 0.00 4000.00 8011.56
SBI432c76ffd67d440b8ddac3f6f9e22757/06/11/2019
13:42:11/overseasaquatics@oksbi/
bluestonelive@oksbi/Cred
06 Nov 2019 02:03:51 PM 06 Nov 2019 931014009739 NEEMCARHOSPITALTRICHURKLIN-06/11/19
33 3099.00 0.00 4912.56
14:03:51/1154
06 Nov 2019 02:38:26 PM 06 Nov 2019 931014005125 NAVARATNAHYPERTRICHURKEIN-06/11/19
33 406.00 0.00 4506.56
14:38:26/1154
06 Nov 2019 02:39:45 PM 06 Nov 2019 000000000000 ECS BFL 6S0MPDFB336344 263 3999.00 0.00 507.56

4
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
07 Nov 2019 01:40:43 PM 07 Nov 2019 931113474696 MB-IMPS CREDIT 06700450- 07/11/19 33 0.00 1.00 508.56
13:40:43
07 Nov 2019 01:41:15 PM 07 Nov 2019 931113359932 MB-IMPS CREDIT 06700450- 07/11/19 33 0.00 5000.00 5508.56
13:41:15
07 Nov 2019 03:14:31 PM 07 Nov 2019 MB 06700450- 07/11/19 1-8555101070294 8888 700.00 0.00 4808.56
07 Nov 2019 03:34:24 PM 07 Nov 2019 MB 06700450- 07/11/19 1-8555101070294 8888 500.00 0.00 4308.56
07 Nov 2019 04:11:47 PM 07 Nov 2019 931116905867 BISMIARCADETHRISSURKLIN-07/11/19 33 107.80 0.00 4200.76
16:11:47/1154
07 Nov 2019 04:14:09 PM 07 Nov 2019 931116026894 BISMIARCADETRICHURKEIN-07/11/19 33 32.00 0.00 4168.76
16:14:09/1154
07 Nov 2019 05:37:11 PM 07 Nov 2019 931117520804 UPI/931117520804/ 33 1500.00 0.00 2668.76
SBI08eacbc41b7e4bac9081b1742b2044ab/
07/11/2019 17:37:11/bluestonelive@oksbi/
vivekvijayakumar733@oksbi/D
07 Nov 2019 06:51:00 PM 07 Nov 2019 931118666152 MB-IMPS CREDIT 06700450- 07/11/19 33 0.00 1.00 2669.76
18:51:00
07 Nov 2019 07:01:04 PM 07 Nov 2019 931119125729 MB-IMPS CREDIT 06700450- 07/11/19 33 0.00 5410.00 8079.76
19:01:04
07 Nov 2019 07:17:19 PM 07 Nov 2019 2776 ATM Cash-58972595- 5897 5000.00 0.00 3079.76
CANARABANKKOMBODINJAMAKKLIN-07/11/19
19:17:19/1154
08 Nov 2019 10:49:13 AM 08 Nov 2019 931210618458 UPI/931210618458/ 33 1900.00 0.00 1179.76
SBI65e60fdafe824914a50a5795620a0e8b/
08/11/2019 10:49:13/bluestonelive@oksbi/
bismihelmetcorner.98866295@
08 Nov 2019 10:51:37 AM 08 Nov 2019 931210628689 UPI/931210628689/ 33 300.00 0.00 879.76
SBI2ba5491095ff40ff91c2360085c31c08/08/11/2019
10:51:37/bluestonelive@oksbi/
bismihelmetcorner.98866295@
08 Nov 2019 11:49:23 AM 08 Nov 2019 931211797575 UPI/931211797575/ 33 0.00 500.00 1379.76
HDF9bfbed76c4bd4ad3ae464d56069f99d3/08/11/2019
11:49:23/shamilshajahan77@okhdfcbank/
bluestonelive@oksbi
08 Nov 2019 05:45:29 PM 08 Nov 2019 931217168002 UPI/931217168002/ 33 650.00 0.00 729.76
SBIdc3ddc07431147229f7a0b1dee091bcd/
08/11/2019 17:45:29/bluestonelive@oksbi/
q60866408@ybl/Debit
09 Nov 2019 09:42:15 PM 09 Nov 2019 931321967170 UPI/931321967170/ 33 0.00 2300.00 3029.76
HDFa1724c861b934cbba191f0dc0f46e167/09/11/2019
21:42:15/donjerom-1@okhdfcbank/
bluestonelive@oksbi/Credi

5
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
09 Nov 2019 10:49:16 PM 09 Nov 2019 931322669287 UPI/931322669287/ 33 2300.00 0.00 729.76
SBIac583e74b53643adbc9a77c519873e99/09/11/2019
22:49:16/bluestonelive@oksbi/
jishnukssy12@okhdfcbank/Deb
10 Nov 2019 03:56:16 PM 10 Nov 2019 931415234835 UPI/931415234835/ 33 199.00 0.00 530.76
SBI450a11b772dd437fbfd7014482f4c108/10/11/2019
15:56:16/bluestonelive@oksbi/billdesk.idea-
prepaid@icici
10 Nov 2019 05:06:58 PM 10 Nov 2019 000000000000 REFUND-TR DT 05/11/2019SEQ 8495 1912 0.00 2.25 533.01
10 Nov 2019 09:53:33 PM 10 Nov 2019 931421105502 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-10/11/19
33 217.00 0.00 316.01
21:53:33/1154
10 Nov 2019 09:55:51 PM 10 Nov 2019 931421106195 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-10/11/19
33 30.00 0.00 286.01
21:55:51/1154
10 Nov 2019 11:49:26 PM 10 Nov 2019 931423351467 UPI/931423351467/ 33 150.00 0.00 136.01
SBIbb66f3c2b2f94382a205baf51d848d5b/
10/11/2019 23:49:26/bluestonelive@oksbi/
aniemoljoy71@okicici/Debit
10 Nov 2019 11:51:15 PM 10 Nov 2019 931423269459 UPI/931423269459/ 33 0.00 150.00 286.01
ICI7ab16d1040394fee841e4cf9e83f26d8/10/11/2019
23:51:15/aniemoljoy71@okicici/
bluestonelive@oksbi/Credit
11 Nov 2019 10:16:36 AM 11 Nov 2019 931510206659 UPI/931510206659/ 33 100.00 0.00 186.01
SBIff3c4bac200b4f718fa0deb1127500a1/11/11/2019
10:16:36/bluestonelive@oksbi/
q36324737@ybl/Debit
21 Nov 2019 04:04:02 PM 21 Nov 2019 932516739833 MB-IMPS CREDIT 06700450- 21/11/19 33 0.00 7000.00 7186.01
16:04:02
21 Nov 2019 04:09:40 PM 21 Nov 2019 932516233699 MB-IMPS DEBIT 06700450- 21/11/19 33 5750.00 0.00 1436.01
16:09:40
21 Nov 2019 04:13:46 PM 21 Nov 2019 932516901401 UPI/932516901401/ 33 199.00 0.00 1237.01
SBId7f6157ac50b414f90c404dd343c68c1/21/11/2019
16:13:46/bluestonelive@oksbi/billdesk.idea-
prepaid@icici
21 Nov 2019 08:28:36 PM 21 Nov 2019 932520504509 UPI/932520504509/ 33 1000.00 0.00 237.01
SBIaea2870e9b2141848487e159fc0c5fed/
21/11/2019 20:28:36/bluestonelive@oksbi/
solamanjacob1015@okhdfcbank
21 Nov 2019 08:29:38 PM 21 Nov 2019 932520444747 UPI/932520444747/ 33 0.00 8.00 245.01
AXI4136ad4703bb4f4bbe070db43f2bce3b/
21/11/2019 20:29:38/goog-payment@okaxis/
bluestonelive@oksbi/Credit

6
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
22 Nov 2019 02:18:48 PM 22 Nov 2019 932614322459 BOOKMYSHOWMumbaiMHIN-22/11/19 33 175.96 0.00 69.05
14:18:48/1154
23 Nov 2019 02:01:43 PM 23 Nov 2019 932714913507 MB-IMPS CREDIT 06700450- 23/11/19 33 0.00 8600.00 8669.05
14:01:43
23 Nov 2019 02:44:58 PM 23 Nov 2019 932714007879 NAVARATNAHYPERTRICHURKEIN-23/11/19
33 1491.00 0.00 7178.05
14:44:58/1154
23 Nov 2019 02:52:11 PM 23 Nov 2019 932714017507 ATM Cash-70170014- 33 2000.00 0.00 5178.05
KUZHIKKATTUSSERYMUKUNDAPURAMKLIN-23/11/19
14:52:11/1154
23 Nov 2019 07:15:44 PM 23 Nov 2019 932719577748 UPI/932719577748/ 33 4500.00 0.00 678.05
SBI9e6f726de225401c9ca5124689ff8459/23/11/2019
19:15:44/bluestonelive@oksbi/
donjerom-1@okhdfcbank/Debit
24 Nov 2019 10:50:29 AM 24 Nov 2019 932810116295 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-24/11/19
33 48.00 0.00 630.05
10:50:29/1154
24 Nov 2019 05:52:48 PM 24 Nov 2019 932817108059 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-24/11/19
33 149.00 0.00 481.05
17:52:48/1154
26 Nov 2019 01:26:39 PM 26 Nov 2019 933013113850 UPI/933013113850/ 33 0.00 1500.00 1981.05
ICI4d011f9bd5de46c6aee5f1554645d8a7/26/11/2019
13:26:39/sreelalmethala-1@okicici/
bluestonelive@oksbi/Cr
26 Nov 2019 01:40:04 PM 26 Nov 2019 933013920140 CHEMBAKASSERYSUPERMARTHRISSURKLIN-26/11/19
33 1039.00 0.00 942.05
13:40:04/1154
26 Nov 2019 01:44:23 PM 26 Nov 2019 000000000000 BFL ECS RETURN CHGR02112019 263 295.00 0.00 647.05
27 Nov 2019 06:10:30 PM 27 Nov 2019 000000000000 APY Contri for(501005660305)04-2019 49 290.00 0.00 357.05
27 Nov 2019 06:10:31 PM 27 Nov 2019 000000000000 APY Contri for(501005660305)05-2019 49 287.00 0.00 70.05
28 Nov 2019 10:11:36 PM 28 Nov 2019 933222136633 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-28/11/19
33 50.00 0.00 20.05
22:11:36/1154
01 Dec 2019 09:40:40 PM 01 Dec 2019 933521651460 UPI/933521651460/ 33 0.00 350.00 370.05
HDFdda725e3f04a40419462991ba65c334e/
01/12/2019 21:40:40/
deepaktharayil111@okhdfcbank/
bluestonelive@oksb
03 Dec 2019 09:45:32 AM 03 Dec 2019 933709453245 Rchrg/Tkt Bkng 06700450- 03/12/19 09:45:32 33 50.00 0.00 320.05
03 Dec 2019 09:47:03 AM 03 Dec 2019 933709470447 Rchrg/Tkt Bkng 06700450- 03/12/19 09:47:03 33 10.00 0.00 310.05
03 Dec 2019 09:49:30 AM 03 Dec 2019 933709493049 Rchrg/Tkt Bkng 06700450- 03/12/19 09:49:30 33 10.00 0.00 300.05
04 Dec 2019 10:49:31 AM 04 Dec 2019 933810757460 MB-IMPS CREDIT 06700450- 04/12/19 33 0.00 10,000.00 10,300.05
10:49:31

7
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
04 Dec 2019 10:54:06 AM 04 Dec 2019 933810296800 UPI/933810296800/ 33 0.00 1500.00 11,800.05
ICI9ae5f138dd464475a18d1835f5b3a78a/
04/12/2019 10:54:06/antonyd333@okicici/
bluestonelive@oksbi/Credit
04 Dec 2019 11:35:48 AM 04 Dec 2019 933811636174 MB-IMPS DEBIT 06700450- 04/12/19 33 6000.00 0.00 5800.05
11:35:48
04 Dec 2019 12:33:28 AM 04 Dec 2019 933812772067 UPI/933812772067/ 33 0.00 2000.00 7800.05
AXI349aa2f413d26bc1d93d25295b746869/04/12/2019
12:33:28/vipinthera@okaxis/
bluestonelive@oksbi/Credit
04 Dec 2019 01:59:37 PM 04 Dec 2019 000000000000 ECS BFL 6S0MPDFB336344 263 3999.00 0.00 3801.05
04 Dec 2019 03:34:05 PM 04 Dec 2019 041219061584 CASHKIOSK-1234L 06700450- 04/12/19 1234 0.00 3000.00 6801.05
15:34:05
04 Dec 2019 10:11:49 PM 04 Dec 2019 933822114911 Rchrg/Tkt Bkng 06700450- 04/12/19 22:11:49 33 222.00 0.00 6579.05
05 Dec 2019 10:56:35 AM 05 Dec 2019 933910789903 MB-IMPS CREDIT 06700450- 05/12/19 33 0.00 3500.00 10,079.05
10:56:35
05 Dec 2019 12:20:58 AM 05 Dec 2019 000000000000 ECS MahindraandMahindraF 5897 6550.00 0.00 3529.05
05 Dec 2019 04:34:46 PM 05 Dec 2019 000000000000 ECS BFL 6S00CDEQ745587 263 2188.00 0.00 1341.05
05 Dec 2019 11:00:26 PM 05 Dec 2019 933923002600 Rchrg/Tkt Bkng 06700450- 05/12/19 23:00:26 33 10.00 0.00 1331.05
07 Dec 2019 09:58:13 AM 07 Dec 2019 Cash Deposit 5897 0.00 8000.00 9331.05
07 Dec 2019 01:17:57 PM 07 Dec 2019 934113185506 KRAZYBEEMumbaiMHIN-07/12/19 33 3143.97 0.00 6187.08
13:17:57/1154
08 Dec 2019 06:22:51 PM 08 Dec 2019 934218025959 PRABHUSONSTRICHURKLIN-08/12/19 33 500.00 0.00 5687.08
18:22:51/1154
08 Dec 2019 06:41:43 PM 08 Dec 2019 934218941594 NEWORANGEBAKERSERNAKULAMKLIN-08/12/19
33 610.00 0.00 5077.08
18:41:43/1154
08 Dec 2019 08:32:01 PM 08 Dec 2019 934220012043 NAVARATNAHYPERTRICHURKEIN-08/12/19
33 528.00 0.00 4549.08
20:32:01/1154
08 Dec 2019 09:50:52 PM 08 Dec 2019 MB 06700450- 08/12/19 2-5897261000006 8888 4025.00 0.00 524.08
09 Dec 2019 09:02:45 AM 09 Dec 2019 934309160834 MB-IMPS CREDIT 06700450- 09/12/19 33 0.00 6500.00 7024.08
09:02:45
09 Dec 2019 10:54:21 AM 09 Dec 2019 MB 06700450- 09/12/19 1-5897261000006 8888 4000.00 0.00 3024.08
09 Dec 2019 01:26:07 PM 09 Dec 2019 934313031796 ATM Cash-70170014- 33 3000.00 0.00 24.08
KUZHIKKATTUSSERYMUKUNDAPURAMKLIN-09/12/19
13:26:07/1154
09 Dec 2019 08:11:21 PM 09 Dec 2019 934320906848 MB-IMPS CREDIT 06700450- 09/12/19 33 0.00 5000.00 5024.08
20:11:21
10 Dec 2019 01:08:53 PM 10 Dec 2019 934413401189 MB-IMPS DEBIT 06700450- 10/12/19 33 200.00 0.00 4824.08
13:08:53

8
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
10 Dec 2019 07:38:02 PM 10 Dec 2019 934419460234 MB-IMPS DEBIT 06700450- 10/12/19 33 1150.00 0.00 3674.08
19:38:02
11 Dec 2019 11:09:35 AM 11 Dec 2019 MB 06700450- 11/12/19 1-5897101002482 8888 500.00 0.00 3174.08
11 Dec 2019 11:21:49 AM 11 Dec 2019 8628 ATM Cash-58972595- 5897 500.00 0.00 2674.08
CANARABANKKOMBODINJAMAKKLIN-11/12/19
11:21:49/1154
11 Dec 2019 06:36:26 PM 11 Dec 2019 934518280303 ATM Cash-00580001- 33 500.00 0.00 2174.08
SIBNORTHPARURERNAKULAMKLIN-11/12/19
18:36:26/1154
11 Dec 2019 07:44:47 PM 11 Dec 2019 934519028049 NAVARATNAHYPERTRICHURKEIN-11/12/19
33 672.00 0.00 1502.08
19:44:47/1154
11 Dec 2019 10:48:19 PM 11 Dec 2019 934522166267 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-11/12/19
33 200.00 0.00 1302.08
22:48:19/1154
11 Dec 2019 11:18:18 PM 11 Dec 2019 934523328989 MB-IMPS CREDIT 06700450- 11/12/19 33 0.00 1.00 1303.08
23:18:18
11 Dec 2019 11:22:38 PM 11 Dec 2019 934523331157 MB-IMPS CREDIT 06700450- 11/12/19 33 0.00 3569.00 4872.08
23:22:38
12 Dec 2019 11:49:15 AM 12 Dec 2019 934611017818 ATM Cash-70170014- 33 4500.00 0.00 372.08
KUZHIKKATTUSSERYMUKUNDAPURAMKLIN-12/12/19
11:49:15/1154
14 Dec 2019 06:46:48 PM 14 Dec 2019 000000000000 REFUND-TR DT 08/12/2019SEQ 5959 1912 0.00 3.75 375.83
17 Dec 2019 06:15:21 PM 17 Dec 2019 935118212235 MB-IMPS DEBIT 06700450- 17/12/19 33 300.00 0.00 75.83
18:15:21
18 Dec 2019 06:50:33 PM 18 Dec 2019 SC For Cheque Book Delivery 5897 71.00 0.00 4.83
21 Dec 2019 06:23:41 PM 21 Dec 2019 000000000000 REFUND-TR DT 29/10/2019SEQ 1786 1912 0.00 0.75 5.58
22 Dec 2019 09:49:25 PM 22 Dec 2019 935621484984 UPI/935621484984/ 33 0.00 6000.00 6005.58
HDF0ce47e041f004a3db8c0f0f414948821/22/12/2019
21:49:25/arundasds141@okhdfcbank/
jerinmoothedan@okicici/
23 Dec 2019 12:30:56 AM 23 Dec 2019 935712010263 NAVARATNAHYPERTRICHURKEIN-23/12/19
33 1311.00 0.00 4694.58
12:30:56/1154
23 Dec 2019 01:16:51 PM 23 Dec 2019 935713022431 BISMIARCADETRICHURKEIN-23/12/19 33 330.00 0.00 4364.58
13:16:51/1154
23 Dec 2019 06:30:25 PM 23 Dec 2019 935718017642 SIVASAKTHIFUELSTRICHURKEIN-23/12/1933 1000.00 0.00 3364.58
18:30:25/1154
23 Dec 2019 09:06:27 PM 23 Dec 2019 935721194066 LuluInternational.14CochinKLIN-23/12/19 33 1656.00 0.00 1708.58
21:06:27/1154
23 Dec 2019 09:27:20 PM 23 Dec 2019 935721020534 CHICKINGERNAKULAMKLIN-23/12/19 33 104.00 0.00 1604.58
21:27:20/1154

9
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
23 Dec 2019 09:33:20 PM 23 Dec 2019 935721093255 WOODAPPLESFOODCOUEDAPPALLYKLIN-23/12/19
33 331.00 0.00 1273.58
21:33:20/1154
24 Dec 2019 11:12:10 AM 24 Dec 2019 935811905141 NAVARATNAHYPERMARKETIRINJALAKUDAKLIN-24/12/19
33 511.00 0.00 762.58
11:12:10/1154
24 Dec 2019 03:21:30 PM 24 Dec 2019 935815912077 NAVARATNAHYPERMARKETIRINJALAKUDAKLIN-24/12/19
33 262.00 0.00 500.58
15:21:30/1154
24 Dec 2019 03:30:37 PM 24 Dec 2019 000000000000 NUCLEI 33 0.00 10.00 510.58
REFUND_933923002600_RECHARGE_2019
25 Dec 2019 02:12:43 PM 25 Dec 2019 935914595375 MB-IMPS CREDIT 06700450- 25/12/19 33 0.00 2000.00 2510.58
14:12:43
25 Dec 2019 06:22:46 PM 25 Dec 2019 935918975253 ATM Cash-04250189- 33 600.00 0.00 1910.58
CSBKOMBODINJAMAKKALTHRISSURKLIN-25/12/19
18:22:46/1154
25 Dec 2019 06:48:49 PM 25 Dec 2019 935918023194 SIVASAKTHIFUELSTRICHURKEIN-25/12/1933 500.00 0.00 1410.58
18:48:49/1154
26 Dec 2019 09:14:55 AM 26 Dec 2019 936009018231 JAIHINDPETROLEUM.TRICHURKEIN-26/12/19
33 400.00 0.00 1010.58
09:14:55/1154
26 Dec 2019 08:12:31 PM 26 Dec 2019 936020015809 KERALASTATEMANDMCTRICHURKLIN-26/12/19
33 460.00 0.00 550.58
20:12:31/1154
27 Dec 2019 04:43:01 PM 27 Dec 2019 000000000000 APY Contri for(501005660305)06-2019 49 287.00 0.00 263.58
27 Dec 2019 05:06:43 PM 27 Dec 2019 936117064306 Rchrg/Tkt Bkng 06700450- 27/12/19 17:06:43 33 16.00 0.00 247.58
28 Dec 2019 02:38:43 AM 27 Dec 2019 SMS ALERT CHARGES NEW 5897 18.00 0.00 229.58
28 Dec 2019 06:16:07 PM 28 Dec 2019 000000000000 RUPI POS TRDT 23/12/2019SEQNO 3255 1912 0.00 331.00 560.58
CR
28 Dec 2019 06:45:03 PM 28 Dec 2019 936218942782 UPI/936218942782/ 33 0.00 5000.00 5560.58
HDF8768fa9d667c48fbbd110f3b2b1c408c/
28/12/2019 18:45:03/
shamilshajahan77@okhdfcbank/
5897101000042@cnrb0
28 Dec 2019 06:59:23 PM 28 Dec 2019 936218925121 KRAZYBEENEWDELHIDLIN-28/12/19 33 4173.19 0.00 1387.39
18:59:23/1154
28 Dec 2019 07:03:49 PM 28 Dec 2019 936219120560 MB-IMPS CREDIT 06700450- 28/12/19 33 0.00 3658.00 5045.39
19:03:49
28 Dec 2019 07:14:22 PM 28 Dec 2019 936219937426 FINNOVATIONTECHSOLUTNEWDELHIDLIN-28/12/19
33 3144.76 0.00 1900.63
19:14:22/1154
28 Dec 2019 07:40:39 PM 28 Dec 2019 936219141571 MB-IMPS CREDIT 06700450- 28/12/19 33 0.00 7351.00 9251.63
19:40:39
28 Dec 2019 07:51:10 PM 28 Dec 2019 936219499385 PCFinancialServicesBangaloreKAIN-28/12/19 33 8297.60 0.00 954.03
19:51:10/1154

10
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
29 Dec 2019 07:17:26 AM 29 Dec 2019 936307172758 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-29/12/19
33 50.00 0.00 904.03
07:17:26/1154
29 Dec 2019 03:15:42 PM 29 Dec 2019 936315794267 MB-IMPS CREDIT 06700450- 29/12/19 33 0.00 2000.00 2904.03
15:15:42
29 Dec 2019 03:27:06 PM 29 Dec 2019 936315918305 MB-IMPS CREDIT 06700450- 29/12/19 33 0.00 5000.00 7904.03
15:27:06
29 Dec 2019 03:33:39 PM 29 Dec 2019 936315570018 MFINMumbaiMHIN-29/12/19 15:33:39/1154 33 6550.00 0.00 1354.03
29 Dec 2019 05:03:03 PM 29 Dec 2019 000000000000 REFUND-TR DT 23/12/2019SEQ 7642 1912 0.00 7.50 1361.53
29 Dec 2019 05:29:50 PM 29 Dec 2019 000000000000 REFUND-TR DT 25/12/2019SEQ 3194 1912 0.00 3.75 1365.28
29 Dec 2019 09:28:46 PM 29 Dec 2019 936321018932 MAMFUELSTRICHURKLIN-29/12/19 33 500.00 0.00 865.28
21:28:46/1154
30 Dec 2019 12:18:55 AM 30 Dec 2019 936412197000 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-30/12/19
33 48.00 0.00 817.28
12:18:55/1154
30 Dec 2019 12:21:56 AM 30 Dec 2019 936412197801 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-30/12/19
33 48.00 0.00 769.28
12:21:56/1154
30 Dec 2019 12:35:10 AM 30 Dec 2019 936412392392 MB-IMPS CREDIT 06700450- 30/12/19 33 0.00 1.00 770.28
12:35:10
30 Dec 2019 06:23:40 PM 30 Dec 2019 936418411094 SOUTHERNPETROLEUMERNAKULAMKLIN-30/12/19
33 500.00 0.00 270.28
18:23:40/1154
30 Dec 2019 09:37:59 PM 30 Dec 2019 936421207073 MB-IMPS CREDIT 06700450- 30/12/19 33 0.00 58,586.00 58,856.28
21:37:59
31 Dec 2019 11:54:10 AM 31 Dec 2019 936511909881 IFTHARALUVAMETROERNAKULAMKLIN-31/12/19
33 357.00 0.00 58,499.28
11:54:10/1154
31 Dec 2019 05:47:34 PM 31 Dec 2019 936517002898 SIVASAKTHIFUELSTRICHURKEIN-31/12/1933 500.00 0.00 57,999.28
17:47:34/1154
31 Dec 2019 06:09:42 PM 31 Dec 2019 000000000000 REFUND-TR DT 26/12/2019SEQ 8231 1912 0.00 3.00 58,002.28
31 Dec 2019 07:10:17 PM 31 Dec 2019 2332 ATM Cash-58972595- 5897 5000.00 0.00 53,002.28
CANARABANKKOMBODINJAMAKKLIN-31/12/19
19:10:17/1154
31 Dec 2019 07:11:26 PM 31 Dec 2019 2333 ATM Cash-58972595- 5897 2000.00 0.00 51,002.28
CANARABANKKOMBODINJAMAKKLIN-31/12/19
19:11:26/1154
31 Dec 2019 09:03:05 PM 31 Dec 2019 936521902519 NAVARATNAHYPERMARKETTHRISSURKLIN-31/12/19
33 784.00 0.00 50,218.28
21:03:05/1154
01 Jan 2020 10:21:28 AM 01 Jan 2020 MB 06700450- 01/01/20 1-5897104000059 8888 300.00 0.00 49,918.28
01 Jan 2020 12:37:40 AM 01 Jan 2020 000212002421 ATM Cash-CW101701-FBL- 33 1000.00 0.00 48,918.28
KALLETTUMKARATHRISSURKLIN-01/01/20
12:37:40/1154
01 Jan 2020 06:09:07 PM 01 Jan 2020 IMPS CHGS 04DEC2019_933811636174 5897 6.00 0.00 48,912.28

11
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
01 Jan 2020 09:54:43 PM 01 Jan 2020 000221012653 ATM Cash-CW101701-FBL- 33 500.00 0.00 48,412.28
KALLETTUMKARATHRISSURKLIN-01/01/20
21:54:43/1154
02 Jan 2020 12:30:27 AM 02 Jan 2020 000200137620 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-02/01/20
33 50.00 0.00 48,362.28
00:30:27/1154
02 Jan 2020 09:25:02 AM 02 Jan 2020 000209178351 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-02/01/20
33 249.00 0.00 48,113.28
09:25:02/1154
02 Jan 2020 11:26:41 AM 02 Jan 2020 000211005510 SIVASAKTHIFUELSTRICHURKEIN-02/01/2033 500.00 0.00 47,613.28
11:26:41/1154
02 Jan 2020 01:04:51 PM 02 Jan 2020 000000000000 ECS BFL 6S0MPDFB336344 263 3999.00 0.00 43,614.28
02 Jan 2020 01:47:02 PM 02 Jan 2020 000213019884 VELLAKANTHARIERNAKULAMKEIN-02/01/20
33 660.00 0.00 42,954.28
13:47:02/1154
02 Jan 2020 05:34:59 PM 02 Jan 2020 000217900092 LULUINTERNATIONALSHERNAKULAMKLIN-02/01/20
33 20.00 0.00 42,934.28
17:34:59/1154
02 Jan 2020 06:36:56 PM 02 Jan 2020 000218114295 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-02/01/20
33 199.00 0.00 42,735.28
18:36:56/1154
02 Jan 2020 08:32:40 PM 02 Jan 2020 2701 ATM Cash-58972595- 5897 2000.00 0.00 40,735.28
CANARABANKKOMBODINJAMAKKLIN-02/01/20
20:32:40/1154
03 Jan 2020 12:45:46 AM 03 Jan 2020 000312061947 MB-IMPS DEBIT 06700450- 03/01/20 33 2000.00 0.00 38,735.28
12:45:46
03 Jan 2020 12:53:21 AM 03 Jan 2020 000312927545 SUNNYSILKSIRINJALAKUDAKLIN-03/01/2033 4795.00 0.00 33,940.28
12:53:21/1154
03 Jan 2020 01:45:59 PM 03 Jan 2020 000313985785 HOTELVEENUSThrissurKLIN-03/01/20 33 510.00 0.00 33,430.28
13:45:59/1154
03 Jan 2020 04:36:08 PM 03 Jan 2020 000316026706 RELIANCEKODUNGALLORKEIN-03/01/20 33 1896.50 0.00 31,533.78
16:36:08/1154
03 Jan 2020 06:17:00 PM 03 Jan 2020 000000000000 REFUND-TR DT 29/12/2019SEQ 8932 1912 0.00 3.75 31,537.53
05 Jan 2020 08:34:20 PM 05 Jan 2020 IMPS CHRGS 21112019932516233699 5897 6.00 0.00 31,531.53
05 Jan 2020 11:07:43 PM 05 Jan 2020 000523698012 MB-IMPS CREDIT 06700450- 05/01/20 33 0.00 6000.00 37,531.53
23:07:43
06 Jan 2020 12:28:03 AM 06 Jan 2020 000000000000 ECS MahindraandMahindraF 5897 6550.00 0.00 30,981.53
06 Jan 2020 02:59:57 PM 06 Jan 2020 000000000000 ECS BFL 6S00CDEQ745587 263 2188.00 0.00 28,793.53
06 Jan 2020 03:55:45 PM 06 Jan 2020 000615463831 MB-IMPS DEBIT 06700450- 06/01/20 33 4400.00 0.00 24,393.53
15:55:45
06 Jan 2020 06:43:56 PM 06 Jan 2020 000618493422 MB-IMPS DEBIT 06700450- 06/01/20 33 8500.00 0.00 15,893.53
18:43:56
07 Jan 2020 09:45:58 AM 07 Jan 2020 000709190095 ZAAKEPAYMENTSERVICESGURGAONHRIN-07/01/20
33 839.56 0.00 15,053.97
09:45:58/1154

12
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
07 Jan 2020 04:19:58 PM 07 Jan 2020 3871 ATM Cash-58972595- 5897 500.00 0.00 14,553.97
CANARABANKKOMBODINJAMAKKLIN-07/01/20
16:19:58/1154
07 Jan 2020 04:33:51 PM 07 Jan 2020 000716014483 ORANGEBAKERSTRICHURKEIN-07/01/20 33 718.00 0.00 13,835.97
16:33:51/1154
07 Jan 2020 09:27:15 PM 07 Jan 2020 IMPS CHRGS 27102019_930022550242 5897 12.00 0.00 13,823.97
08 Jan 2020 04:21:46 PM 08 Jan 2020 06JAN2020 IMPS CHRG000618493422 5897 6.00 0.00 13,817.97
08 Jan 2020 07:59:44 PM 08 Jan 2020 000819775660 MB-IMPS DEBIT 06700450- 08/01/20 33 500.00 0.00 13,317.97
19:59:44
09 Jan 2020 07:38:59 PM 02 Jan 2020 000000000000 REF-TR/R01/30/12/2019/1094 1912 0.00 3.75 13,321.72
09 Jan 2020 07:40:47 PM 02 Jan 2020 000000000000 REF-TR/R01/31/12/2019/2898 1912 0.00 3.75 13,325.47
10 Jan 2020 09:23:00 AM 10 Jan 2020 001009179713 ONEMOBIKWIKSYSTEMSPGURGAONHRIN-10/01/20
33 249.00 0.00 13,076.47
09:23:00/1154
10 Jan 2020 07:51:07 PM 04 Jan 2020 000000000000 REF-TR/R01/02/01/2020/5510 1912 0.00 3.75 13,080.22
11 Jan 2020 12:37:21 AM 11 Jan 2020 001112015587 BROADWAYAUTO,,TRICHURKEIN-11/01/2033 500.00 0.00 12,580.22
12:37:21/1154
11 Jan 2020 07:49:17 PM 11 Jan 2020 001119940196 NAVARATNAHYPERMARKETCHALAKUDYKLIN-11/01/20
33 535.00 0.00 12,045.22
19:49:17/1154
11 Jan 2020 07:54:49 PM 11 Jan 2020 001119014305 NAVARATNAHYPERTRICHURKEIN-11/01/20
33 1018.00 0.00 11,027.22
19:54:49/1154
11 Jan 2020 08:23:15 PM 11 Jan 2020 001120177909 MB-IMPS DEBIT 06700450- 11/01/20 33 3000.00 0.00 8027.22
20:23:15
11 Jan 2020 08:57:36 PM 11 Jan 2020 001120536943 ATM Cash-00341032- 33 500.00 0.00 7527.22
PACSKORATTYMKORATTYMKLIN-11/01/20
20:57:36/1154
12 Jan 2020 11:56:27 AM 12 Jan 2020 001211961681 PCFinancialServicesBangaloreKAIN-12/01/20 33 2271.24 0.00 5255.98
11:56:27/1154
12 Jan 2020 12:10:07 AM 12 Jan 2020 001212903123 KRAZYBEENEWDELHIDLIN-12/01/20 33 4083.45 0.00 1172.53
12:10:07/1154
12 Jan 2020 12:53:32 AM 12 Jan 2020 001212858267 UPI/001212858267/ 33 48.00 0.00 1124.53
PTM3ed38b672f31475ea189301391b24f92/12/01/2020
12:53:32/7558866006@paytm/payide@paytm/
Debit
12 Jan 2020 01:01:43 PM 12 Jan 2020 001213948658 UPI/001213948658/ 33 147.70 0.00 976.83
PTM2948086f92a94680a2755eb55511ed6b/
12/01/2020 13:01:43/7558866006@paytm/
payent0609@paytm/Debit
13 Jan 2020 08:46:14 AM 13 Jan 2020 001308630258 PKVTRANSPORTSANDAGETHRISSURKLIN-13/01/20
33 500.00 0.00 476.83
08:46:14/1154

13
 Date: 13 Jan 2020

Date & Time Value Date Reference Number Description Branch Code Debit Credit Balance
13 Jan 2020 10:04:17 AM 13 Jan 2020 001310341101 MB-IMPS CREDIT 06700450- 13/01/20 33 0.00 5369.00 5845.83
10:04:17

Disclaimer
UNLESS THE CONSTITUENT BRINGS TO THE NOTICE OF THE BANK ANY DISCREPANCY /ERRORS /OMMISSION /UNAUTHORISED
DEBITS IMMEDIATELY, THE ENTRIES IN SUCH PASS SHEET SHALL BE DEEMED AS CORRECT AND SHALL BIND THE
CONSTITUENT FOR ALL PURPOSES AND INTENTS.
COMPUTER OUTPUT- DOES NOT REQUIRE SIGNATURE
----------------------------------------------- End Of Statement ------------------------------------------

14