Statement 2020MTH01 65376297-Unlocked

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055874/17995430-89907/1-4/RESGB/02-04
Your Base Branch : INFOSYS TECH.LTD,MYSORE
BRANCH, INFOSYS TECHNOLOGIES LTD,PLOT NO 350,
HEBBAL INDUSTRIAL AREA, HOOTAGALI, 570018
MS.JAHEEDA BEGAM
INFOSYS BPO LTD # 350,HEBBAL HEBBAL,
ELECTRONIC CITY,HOOTAGALLI : Visit www.icicibank.com
MYSORE Å Dial your Bank 1860 120 7777
KARNATAKA - INDIA - 570027
NEVER SHARE your Card number, CVV, PIN, OTP, Internet Banking User ID or Password with anyone, even if the person claims to be a
bank employee. Sharing these details can lead to unauthorised access to your account.
STATEMENT SUMMARY for Customer ID : XXXX7653 as on January 31, 2020
ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Current A/c XXXXXXXX3121 -2,478.16 0.00 -2,478.16 Not Registered
Savings A/c XXXXXXXX3621 1,616.05 0.00 1,616.05 Registered
TOTAL -862.11 0.00 -862.11
Statement of Transactions in Savings Account XXXXXXXX3621 in INR for the period January 01, 2020 - January 31, 2020
DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-01-2020 B/F 18,411.40
01-01-2020 UPI/000110107836/Salry/DUMMY NAME/Andhra Bank 11,000.00 7,411.40
UPI/000110912419/On tapping Pay/paytmqr28100505/Paytm
01-01-2020 32.00 7,379.40
Payments/
01-01-2020 UPI/000113137468/UPI/ravinewlight@ok/Vijaya Bank 32.00 7,347.40
01-01-2020 OTHER ATMS NFS/0888EP08/CASH WDL/01-01-20 200.00 7,147.40
02-01-2020 BIL/INFT/001885418760/NA/ ANUSHA RAACHINE 226.00 6,921.40
UPI/000212382185/Oid202001021246/paytm-25771437@/Paytm
02-01-2020 87.00 6,834.40
Payments/
02-01-2020 DEBIT CARD VPS/MSW MOUNTAI/202001022238/000217802422/Bangalore 24.00 6,810.40
03-01-2020 CREDIT CARD ATD/Auto Debit CC0xx9962 897.78 5,912.62
03-01-2020 ACH/PayU Payments Privat/LZP355276 436.00 5,476.62
03-01-2020 ACH/PAYSENSE SERVICES IN/KY23119409 1,891.00 3,585.62
04-01-2020 NET BANKING INF/INFT/20200104113902/NA/Self 500.00 3,085.62
06-01-2020 LPMYSXX38254 JAN20 Jaheeda Be 1,923.00 1,162.62
06-01-2020 UPI/000617913750/Jayedaaa/jameela.anjum1@/State Bank Of I 151.00 1,313.62
06-01-2020 UPI/000619399482/NA/walletmoneytoba/Paytm Payments 4,000.12 5,313.74
06-01-2020 ICICI ATM ATM/SPCNG401/CASH WDL/06-01-20 5,000.00 313.74
06-01-2020 UPI/000619658777/NA/walletmoneytoba/Paytm Payments 200.00 513.74
06-01-2020 OTHER ATMS NFS/CWCW6774/CASH WDL/06-01-20 300.00 213.74
06-01-2020 UPI/000622098112/Sahkcgg/jameela.anjum1@/State Bank Of I/ 151.00 62.74
06-01-2020 UPI/000622740409/UPI/goog-payment@ok/Axis Bank Ltd. 11.00 73.74
UPI/000813107256/Oid10078735684@/add-money@paytm/Payt
08-01-2020 2.00 71.74
m Payments/
09-01-2020 BIL/INFT/001892527728/NA/ ANUSHA RAACHINE 200.00 71.74
10-01-2020 30.00 41.74
m Payments/
13-01-2020 5.00 36.74
m Payments/
13-01-2020 OTHER ATMS NFS/SECN6773/CASH WDL/11-01-20 200.00 126.74
UPI/001212726872/Oid10108818360@/paybil3066@payt/Paytm
13-01-2020 10.00 116.74
Payments/
14-01-2020 UPI/001409234644/Jayedaaa/jameela.anjum1@/State Bank Of I 151.00 267.74
14-01-2020 23.00 244.74
Payments/
14-01-2020 12.00 232.74
Payments/
Total: 5,003.12 23,181.78 232.74
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Statement of Transactions in Savings Account XXXXXXXX3621 in INR for the period January 01, 2020 - January 31, 2020

14-01-2020 80.00 152.74
Payments/
16-01-2020 UPI/001604068601/NA/cashfreeclubfac/Yes Bank Ltd 1.00 153.74
16-01-2020 UPI/001611120649/Contribution/chamanjalan5-1@/ICICI Bank/ 200.00 233.75
16-01-2020 UPI/001620158299/Chjbk/jameela.anjum1@/State BankOf I/ 151.00 82.75
16-01-2020 UPI/001620771053/UPI/goog-payment@ok/Axis Bank Ltd. 10.00 92.75
17-01-2020 5.50 87.25
m Payments/
17-01-2020 XX3121_DM_JAHEEDA BEGAM 87.25 0.00
20-01-2020 ECSRTNCHG180120_SR661139070 300.01 0.01
20-01-2020 UPI/002020815596/Jayedaa/jameela.anjum1@/State Bank Of I 160.00 160.01
MMT/IMPS/002022011178/Account validat/Ashish
20-01-2020 MOBILE BANKING 1.00 161.01
Ka/RATNAKAR BANK L
MMT/IMPS/002100181920/Fund transfer/MWYN TECH /YES
21-01-2020 MOBILE BANKING 1.00 162.01
BANK LTD
23-01-2020 500.00 0.02
m Payments/
23-01-2020 ICICI ATM ATM/SPCNG401/CASH WDL/23-01-20 500.00 0.02
23-01-2020 UPI/002322490193/UPI/jameela.anjum1@/State Bank Of I/ 160.00 0.00
24-01-2020 UPI/002420417409/UPI/sujitham2515@ok/DBS Bank India/ 200.00 100.00
24-01-2020 UPI/002420445028/Hdbbx/sujitham2515@ok/DBS Bank India/ 50.00 50.00
27-01-2020 BANK CHARGES ECSRTNCHG180120_SR661139070GST 49.97 0.03
27-01-2020 UPI/002514132042/UPI/jameela.anjum1@/State Bank Of I/ 151.00 0.03
28-01-2020 UPI/002813306438/Jsnd/jameela.anjum1@/State Bank Of I/ 151.00 227.05
28-01-2020 UPI/002819035818/Vssr/jameela.anjum1@/State Bank Of I/ 151.00 76.05
29-01-2020 UPI/002813306438/28.01.2020/SB 151.00 527.05
30-01-2020 CREDIT CARD ATD/Auto Debit CC0xx0663 370.00 157.05
31-01-2020 CMS TRANSACTION CMS/ SALARY FOR JAN 20/INFOSYS BPM LIMITED 4,354.00 4,354.00
31-01-2020 Self AD PayLater XX3121 JAN-20 2,714.95 1,639.05
31-01-2020 23.00 1,616.05
Payments/
Total: 8,460.07 7,076.76 1,616.05
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Statement of Transactions in Current Account XXXXXXXX3121 in INR for the period January 01, 2020 - January 31, 2020

01-01-2020 B/F -3,687.00
04-01-2020 NET BANKING INF/INFT/20200104113902/NA/Self 500.00 -3,187.00
10-01-2020 UPI/001016681087/You are paying/amazon@apl/Axis Bank Ltd./ 635.00 -3,822.00
13-01-2020 UPI/001136351495/Collect request/idfcbnpl@ybl/YesBank Ltd/ 258.00 -4,080.00
13-01-2020 UPI/001110771879/You are paying/amazon@apl/Axis Bank Ltd./ 219.00 -4,299.00
UPI/001220607239/Merchant Inc/bookmyshow@axis/Axis Bank
13-01-2020 65.72 -4,364.72
Ltd./
UPI/001413133625/UPI Payment./bookmyshow@yesb/YesBank
14-01-2020 65.72 -4,299.00
Ltd
17-01-2020 XX3121_DM_JAHEEDA BEGAM 87.25 -4,211.75
18-01-2020 UPI/001810193795/Collect/lazypay.payu@hd/HDFC BANK LTD/ 250.00 -4,461.75
18-01-2020 UPI/001815120349/olacabs/ola.money1@axis/Axis Bank Ltd./ 501.00 -4,962.75
UPI/001820210000/Merchant Inc/bookmyshow@axis/Axis Bank
18-01-2020 512.44 -5,475.19
Ltd./
31-01-2020 Self AD SB Acct XX3621 JAN-20 2,714.95 -2,441.16
31-01-2020 055805003121:Int.Coll:31-12-2019 to 30-01-2020 37.00 -2,478.16
Total: 3,687.00 2,478.16 -2,478.16
Summary of TDS/Interest on Fixed Deposits during the period January 01, 2020 - January 31, 2020
DATE OF
ACCOUNT INTEREST PAID/ TAX DEDUCTED
PAYMENT/
NUMBER CREDITED (INR) (INR)
CREDIT
Opening Balance (Cumulative) 122.00 0.00
055805003121 31-01-2020 0.00 37.00
Closing Balance (Cumulative) 122.00 37.00
REWARD POINTS SUMMARY
SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of December, 2019
POINTS BALANCE*
NUMBER NUMBER My Savings REWARD DEBIT CARD
XXXXXXXX3621 XXXXXXXXXXXX3308 0 14 195
To get current reward points balance and for other queries, visit www.icicibank.com or call ICICI Bank Customer Care.
* As on January, 20, 2020, 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*
Current XXXXXXXX3121 570229005 ICIC0000558 -
Savings XXXXXXXX3621 570229005 ICIC0000558 -
* Nominee name is displayed only on specific consent of customer.
Sincerely, 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
ICICI Bank Limited VPS/IPS-Debit card transaction TOP - Mobile Recharge
RTGS-Real Time Gross Settlement (Instant transfer above Rs 2 Lakh) NEFT - National Electronic Fund Transfer
This is a system-generated statement. Hence, it does not require any signature.

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l Do not fall prey to fictitious offers of winning prizes, money circulation schemes and cheap l There is a revision in the terms & conditions of your complimentary air accident insurance,
funds, etc. through SMS, e-mails and calls. personal accident insurance & purchase protection. It is linked to your bank account. For details,
l With effect from Dec 15, 2019, there is a revision in limits of Cash Transactions and please visit www.icicibank.com .
associated charges. For details, please visit www.icicibank.com/notice-board.page l As per prevailing guidelines of the Income tax Act, 1961, if a valid PAN is not provided by the
l Bank’s Code of Commitment to Customers and Micro and Small Enterprises (MSE): Please customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
visit www.icicibank.com > About Us > Notice Board > Code of Commitment. The code l In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
has been framed in line with the guidelines provided by Banking Codes and Standards l In case your PAN is not updated in our record, please visit the nearest branch and provide a
Board of India (BCSBI). copy of the PAN card, along with the original PAN card for verification.
l As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be l The address of the customer in Form 16A will be the last updated address in the data base of the
generated through the Income tax website for which the PAN of the customer needs to be income tax department.
necessarily updated in Bank's record.
l As per PMJJY, debit of Rs 289 is towards insurance premium collected on behalf of ICICI
l Each depositor is insured by the Deposit Insurance and Credit Guarantee Corporation Prudential & Rs 41 is towards administration charges by ICICI Bank (including Goods and
(DICGC) up to a maximum of Rs. 1 lakh, for both principal and interest amount held by him Services Tax (GST)). For details, refer Terms and Conditions at www.icicibank.com
in the same right and same capacity.
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 in case of any discrepancy in the statement. ROG_SR168104445_DB_SS_30042021

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Page 1 of 4 M-17995430-89907

STATEMENT SUMMARY for Customer ID : XXXX7653 as on January 31, 2020

ACCOUNT DETAILS - INR

Savings A/c XXXXXXXX3621 1,616.05 0.00 1,616.05 Registered

TOTAL -862.11 0.00 -862.11

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

REWARD POINTS SUMMARY

Account Related Other Information

Savings XXXXXXXX3621 570229005 ICIC0000558 -

* Nominee name is displayed only on specific consent of customer.

Sincerely, Legends for transactions in your account statement

This is a system-generated statement. Hence, it does not require any signature.

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