548300/87974551-1/1-4/RESZ/09-26

Your Base Branch : GANDHINAGAR -

KUDASAN II BRANCH, ICICI BANK LTD., SHOP
MR.JADEJA KULDEEPSINH HARSHADSINH NO. 7, THE URBANIA OPP. SHINDAY
ISCON,ASHRAYA BLOCK - 9 NR,RUSHIKESH PARK, RESIDENCY, KUDASAN 382421
RAJKOT RAIL,NAGAR-2
RAJKOT : Visit www.icicibank.com
GUJARAT - INDIA - 360001
Å Dial your Bank 1800 1080

Never share your OTP, URN, CVV or passwords with anyone, even if the person claims to be a Bank employee.

STATEMENT SUMMARY for Customer ID : XXXXX5378 as on March 31, 2025

ACCOUNT DETAILS - INR

ACCOUNT TYPE ACCOUNT BALANCE (I) NOMINATION

Savings A/c XXXXXXXX0517 34,070.46 Registered

TOTAL 34,070.46

Note: Amount available for withdrawal from Operative Account includes Savings/Current Account Balance and principal amount of Linked Fixed Deposits.

Statement of Transactions in Savings Account XXXXXXXX0517 in INR for the period March 01, 2025 - March 31, 2025

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-03-2025 B/F 36,760.26

UPI/9029249@ybl/UPI/AXIS
01-03-2025 BANK/506006265879/ICIa9ef6f3548a945d2881211257174a0 250.00 36,510.26
c8/
UPI/paytm-jiomobili/NA//506060759423/PYTM503018047498
01-03-2025 198.00 36,312.26
42962441/
UPI/ashokparmar1041/UPI/HDFC BANK
02-03-2025 LTD/542776161784/ICI3953c4988c334015ae0fa09409e3b931 140.00 36,172.26
/
UPI/acp.jk.007@oksb/UPI
04-03-2025 Payment//506373713234/ICIc6a33e1390314fd9bcc0e23eec34 16,000.00 20,172.26
33fa/
UPI/bharat92429242@/UPI/BANK OF
04-03-2025 BARODA/506312226538/ICI2e7db1d108614647be2d5965df9 128.00 20,044.26
23981/
UPI/acp.jk.007@oksb/UPI
04-03-2025 Payment//506375580501/ICI0c961464ad6d46a7b76b6fda07e 2,000.00 18,044.26
4692e/
NFS/CASH
04-03-2025 OTHER ATMS 10,000.00 8,044.26
WDL/506318003069/01355042/GANDHINAG/04-03-251823
UPI/paytmqr28100505/UPI/YES BANK
04-03-2025 LIMITE/506396182495/ICIebdee3a27c0d4b2697471e805720e 469.00 7,575.26
6bf/
UPI/dipakthakor9119/UPI/BANK OF
04-03-2025 BARODA/506336576598/ICIcdadf6995fa845faa1c8a6af23e83 116.00 7,459.26
8dc/
INF/INFT/039473344451/49498047 /WEBSANKUL PRIVATE
05-03-2025 NET BANKING 74,800.00 82,259.26
LI/feb salary
UPI/mab0450007a0148/UPI/YES BANK
07-03-2025 LIMITE/506604659631/ICIe274a52c01b94c0782f0b8cb0632ae 643.00 81,616.26
3a/
NFS/CASH
07-03-2025 OTHER ATMS 10,000.00 71,616.26
WDL/506619026616/01355042/GANDHINAG/07-03-251959
NFS/CASH
07-03-2025 OTHER ATMS 10,000.00 61,616.26
WDL/506620009544/01355042/GANDHINAG/07-03-252000
NFS/CASH
07-03-2025 OTHER ATMS 10,000.00 51,616.26
WDL/506620030913/01355042/GANDHINAG/07-03-252001
UPI/7041962884@axl/UPI/State Bank Of
07-03-2025 281.00 51,335.26
I/506631156856/ICIbdf832c391ab4e8ca81c01da7a63bb84/
UPI/paytm-8814126@p/UPI/YES BANK
09-03-2025 LIMITE/543440552788/ICIae03dfcf4b874cbda33454d81541dc 520.00 50,815.26
0d/
UPI/6352609476@axl/UPI/Punjab and
09-03-2025 Sind/543426080266/ICIb71d1409f4e641aea125f156fbc88127 119.00 50,696.26
/
UPI/q084189790@ybl/UPI/YES BANK
10-03-2025 LIMITE/506985909318/ICI186b704bc2734fce904b0e07a7e7d4 180.00 50,516.26
e7/
Total: 74,800.00 61,044.00 50,516.26

Page 1 of 4 M-87974551-1
Statement of Transactions in Savings Account XXXXXXXX0517 in INR for the period March 01, 2025 - March 31, 2025

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/paytm-jiomobili/UPI/YES BANK
11-03-2025 LIMITE/507022357835/PYTM50311804372628930561XXXXXX 899.00 49,617.26
XXXXX/
UPI/paytmqr5vhp47@p/UPI/YES BANK
11-03-2025 LIMITE/507025675220/ICI4b27bf38864e4d45b9acf8c2b5d5f5 45.00 49,572.26
54/
UPI/q629116840@ybl/UPI/YES BANK
12-03-2025 LIMITE/543716449553/ICIb14fe118705b49d3b181e95aa2f7f2 100.00 49,472.26
bd/
UPI/paytmqr67tx81@p/Food//507123417259/ICId7632a908b8
12-03-2025 66.00 49,406.26
2456694ddaff54080c464/
UPI/paytmqr1zu957ij/Food//507123423385/ICI3e92870eeb3a4
12-03-2025 60.00 49,346.26
8359f4fdb8c6cfdca10/
UPI/swiggyinstamart/UPI/AXIS
12-03-2025 BANK/543759475779/ICIfe006cb1b7b4490788820bb5992cf4 311.00 49,035.26
ad/
UPI/q49953153@ybl/UPI/YES BANK
13-03-2025 LIMITE/543823669826/ICIb14c65f64b2f4d6fbc472dee1e8abb 25.00 49,010.26
1d/
UPI/paytmqr64ldzm@p/UPI/YES BANK
13-03-2025 LIMITE/543866467441/ICI231191039d3545e49073563828d15 20.00 48,990.26
3e4/
UPI/q674148444@ybl/UPI/YES BANK
13-03-2025 LIMITE/543855092195/ICId26c21ca4e6644eaa11316f4791dbe 20.00 48,970.26
8a/
UPI/q079894059@ybl/Food//507226000092/ICIfe0165d8de79
13-03-2025 30.00 48,940.26
412587bb987d894f36df/
UPI/paytm-48105029@/NA//507226027479/ICI9af7949ebddd
13-03-2025 110.00 48,830.26
4ff3a6784b269419829a/
UPI/kukufmonline@yb/Collect request/YES BANK
14-03-2025 LIMITE/507341108277/YBL2e774538c2d74f2ebb7dc605c2ac4 2.00 48,828.26
ba2
UPI/paytmqr5d3kxn@p/UPI/YES BANK
15-03-2025 LIMITE/507434282184/ICI84823d0ec2454cd2a2ae362bc9e57 2,700.00 46,128.26
95b/
UPI/q121882560@ybl/UPI/YES BANK
15-03-2025 LIMITE/544054613355/ICIb683d4ac5cc34defa65f1585e5fa673 30.00 46,098.26
3/
UPI/paytmqr28100505/UPI/YES BANK
15-03-2025 LIMITE/544026812046/ICI36a59944b6c04a3aaed33e8d27b34 1,837.00 44,261.26
7ba/
UPI/q964923429@ybl/UPI/YES BANK
15-03-2025 LIMITE/544093325347/ICId9267e2ffe68452ab26bff9a42bbbd 30.00 44,231.26
e4/
UPI/paytmqrvr9r6dds/UPI/YES BANK
15-03-2025 LIMITE/544033338557/ICI99f30684e165498cbac07b02e19c98 20.00 44,211.26
1e/
UPI/jadejamehulsinh/UPI/Kotak Mahindra
16-03-2025 500.00 43,711.26
/544106750754/ICI21788d634d864567b59f004d9025212e/
UPI/q943761777@ybl/UPI/YES BANK
16-03-2025 LIMITE/544133084975/ICIa7be95efc2074b378e1aae1a4d0101 510.00 43,201.26
5c/
UPI/dhavalacharya77/UPI/State Bank Of
18-03-2025 119.00 43,082.26
I/507742449854/ICIabb0bd1c7f194e2283705d072c4dacf3/
UPI/kukufmonline@yb/Collect request/YES BANK
18-03-2025 LIMITE/507341108277/YBL2e774538c2d74f2ebb7dc605c2ac4 2.00 43,084.26
ba2
UPI/zeptonow.bdpg@i/UPI/ICICI Bank LTD
18-03-2025 108.00 42,976.26
/544339004125/ICI6b36d08a2e26473786b915c8d60773a7/
UPI/paytmqr1wjus88k/UPI/YES BANK
19-03-2025 LIMITE/544469439625/ICI377078817ad84429b5cd7a437ffef9 10.00 42,966.26
7a/
UPI/paytmqr1wjus88k/UPI/YES BANK
19-03-2025 LIMITE/544471052062/ICI4ec09a0f0f9248d4b1b1ccd92a9e00 30.00 42,936.26
e8/
20-03-2025 NET BANKING VIN/GPSCDBRupay/202503201214/507912055245/ 100.00 42,836.26
UPI/acp.jk.007@oksb/UPI
20-03-2025 Payment//507960506345/ICIc5065e4f4e144162a9b21644d00 500.00 42,336.26
d1bbb/
UPI/q815016154@ybl/Food//507962595840/ICI197b37c0e426
20-03-2025 96.00 42,240.26
43cfa02f1c32c04bee1d/
UPI/q779462250@ybl/UPI/YES BANK
20-03-2025 LIMITE/507913627022/ICIa500a9f5018c40a3b6651ef022b1b0 1,706.00 40,534.26
29/
Total: 2.00 9,984.00 40,534.26

Page 2 of 4 M-87974551-1
Statement of Transactions in Savings Account XXXXXXXX0517 in INR for the period March 01, 2025 - March 31, 2025

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

UPI/9084388019@ybl/Food//507963791211/ICI1c26be3bac11
20-03-2025 750.00 39,784.26
46308c9c45e353dbf9c3/
UPI/q103487789@ybl/UPI/YES BANK
22-03-2025 LIMITE/544728714551/ICI7cc2e7727e2642b6bc2b645ce5f19cf 20.00 39,764.26
0/
UPI/paytmqr5yscvd@p/UPI/YES BANK
22-03-2025 LIMITE/544733728121/ICI1f683ac261f74ad3a49645720dd224 33.00 39,731.26
dd/
UPI/paytmqr66c7wx@p/UPI/YES BANK
22-03-2025 LIMITE/544781924953/ICIf69e21132baf48c3b6c4a51f47aebfd 60.00 39,671.26
b/
UPI/q720918325@ybl/UPI/YES BANK
22-03-2025 LIMITE/544764142284/ICI96a816c024cd4f43ac8eee9e0b91dc 20.00 39,651.26
25/
UPI/upiqr.innoviti@/UPI/AXIS
22-03-2025 BANK/544795338171/ICIfdbfaadbfad34c389e55e6a7c8cd68a 300.00 39,351.26
1/
UPI/paytmqry2jnt45w/UPI/YES BANK
23-03-2025 LIMITE/544870271723/ICI10c8df31d41148fdb2c9a3c73f187e 2,000.00 37,351.26
a1/
UPI/q604049397@ybl/UPI/YES BANK
23-03-2025 LIMITE/544827485532/ICIa059eeb92c694f19b3e3c4da238e32 20.00 37,331.26
6a/
UPI/paytmqron2eymtv/UPI/YES BANK
23-03-2025 LIMITE/544815794442/ICIa2b9e09b621b425a894d51b49e4b6 40.00 37,291.26
d3a/
UPI/paytmqron2eymtv/UPI/YES BANK
23-03-2025 LIMITE/544836491989/ICI00aef43c9d3e4b97bf41f794887725 10.00 37,281.26
40/
UPI/paytmqr5vhorv@p/UPI/YES BANK
27-03-2025 LIMITE/508695064066/ICI6b635a0792e743cea0b6a33cc6e46 50.00 37,231.26
a32/
28-03-2025 NET BANKING VIN/PASSPORTSEV/202503281057/508710173269/ 1,500.00 35,731.26
UPI/zeptomarketplac/UPI/AIRTEL
28-03-2025 PAYMENTS/508703885347/ICI4d107cfb1c9e408e9249f23791 59.00 35,672.26
2555f4/
UPI/paytmqr17piisl6/UPI/YES BANK
28-03-2025 LIMITE/508734698412/ICI2db61bf1ad7942109ab2cef5701916 60.00 35,612.26
b0/
29-03-2025 548301500517:Int.Pd:31-12-2024 to 28-03-2025 284.00 35,896.26
UPI/q49953153@ybl/UPI/YES BANK
29-03-2025 LIMITE/545489131032/ICI2eb602320d794767a254272a48fb2 20.00 35,876.26
740/
UPI/paytm-jiomobili/UPI/YES BANK
29-03-2025 LIMITE/545446737167/PYTM50329802838579661849XXXXXX 234.00 35,642.26
XXXXX/
UPI/facebook.adsman/UPIIntent/AXIS
29-03-2025 BANK/545456743329/PPPL2297430464529032512425867e7 508.80 35,133.46
9d7a/
UPI/bharatpe.900698/Pay to BharatPe/FEDERAL
29-03-2025 BANK/545493148525/ICIf98934dfb1304f95bc6460c9a45c0c1 20.00 35,113.46
1/
UPI/paytmqr5vhorv@p/UPI/YES BANK
29-03-2025 LIMITE/545400674918/ICI6b1ccf7f7fbe4e56bfe9d82fcbad99cd 30.00 35,083.46
/
UPI/vyapar.17229728/UPI/HDFC BANK
30-03-2025 LTD/508937840634/ICI0825d3787b664521a831d2f2603a385 140.00 34,943.46
0/
UPI/pinelabs.103884/UPI/HDFC BANK
31-03-2025 285.00 34,658.46
LTD/545698606217/553818374/
UPI/sbicardsandpaym/Pay/ICICI Bank LTD
31-03-2025 588.00 34,070.46
/545696305972/ICIb5b278cdfde74a26ad323a30ab35dfa6/
Total: 284.00 6,747.80 34,070.46

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*

Savings XXXXXXXX0517 380229113 ICIC0005483 -

* Nominee name displayed only upon specific consent of the customer

Sincerely,

Team ICICI Bank

Page 3 of 4 M-87974551-1
 Legends for transactions in your Account Statement
VAT/MAT/NFS- Cash Withdrawal at other Bank's ATM INF - Internet fund transfer in linked Accounts
EBA / ISEC-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

This is a system generated statement. Hence, it does not require any signature.
You can now download the Account Statement using the iMobile Pay app and Internet Banking.
Customers with Pradhan Mantri Jan Dhan Yojana (PMJDY) Account, having RuPay PMJDY Debit Card are eligible for Personal Accident Insurance Cover under the RuPay Insurance Programme by NPCI, subject
to Terms & Conditions. Please visit our website for more details.

Card blocking procedure for Savings Account:

iMobile: Log in to iMobile > Debit Card > Services > Card Services > Block/Unblock Debit Card
Personal Banking: Call 1800 1080 > IVR > Voice Assist > Say ‘Card Block’ or press ‘0’.
Internet Banking: Service Request > Block Debit/ATM Card > Select the Card you want to block > Submit.
Card blocking procedure for Current Account:
InstaBIZ: Log in to InstaBIZ > More > Services > Debit Card > Card Block/Unblock
Corporate Internet Banking > Service Request > Debit Card > Block Debit Card.
Account blocking procedure for Savings Account:
SMS: SMS ‘BLOCK’ <last three digits of your Account number> to 9215676766
W.e.f. July 1, 2023, a monthly limit will be applicable on ATM cash withdrawals using Debit Cards. (Minimum limit of ₹ 2 lakh up to a maximum of ₹7.5 lakh as per the Card type). For details, please visit
https://www.icicibank.com/notice-board

l There is a revision in the service charge for domestic Savings Accounts w.e.f. May 01, 2024. For details, l Do not fall prey to fictitious offers about winning prizes, money circulation schemes, cheap funds, etc. through SMS,
please visit https://www.icicibank.com/notice-board.page e-mails and calls.
l There is a change in the Terms and Conditions for Salary Accounts. For details, visit l As per the prevailing guidelines of the Income Tax Act, 1961, if valid PAN is not provided by the customer, then the
www.icicibank.com/managed-assets/docs/terms-condition/tnc-savings-account.pdf (Clause XV). Form 15G/15H will not be treated as valid and tax will be deducted at the prevailing rate or at 20%, whichever is
higher. PAN can be updated online or at the nearest ICICI Bank Branch .
l Bank’s Code of Commitment to its Customers and Micro and Small Enterprises (MSE): Please visit
www.icicibank.com > ‘About Us’ > ‘Notice Board’ > ‘Code of Commitment’. The Code has been framed as l The address of the customer in Form 16A will be the last updated address in the database of the income tax
per the guidelines provided by Banking Codes and Standards Board of India (BCSBI). department.
l As per the guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be generated l PMJJBY Insurance: The insurance premium is collected on behalf of ICICI Prudential Life Insurance Company Limited
through the Income tax website for which the PAN of the customer needs to be necessarily updated in the plus administration charges are collected by ICICI Bank (including GST), as per the existing laws. Effective Sep 01,
Bank's record. 2018, a premium is charged on a pro-rata basis for all new enrolments in the scheme. It is noteworthy that the
renewal premium for all existing customers will be charged for a period of one year (i.e. Rs 330) between May 25
l The depositor is insured by the Deposit Insurance and Credit Guarantee Corporation (DICGC) up to a
and May 31, every year. For details on the premium structure, refer to the Terms & Conditions under the Pradhan
maximum of Rs. 5 lakh, for both principal and interest amount held by him/her in the same right and same
Mantri Social Security Schemes at www.icicibank.com .
capacity.
l Please refer to the notice on our website regarding the revisions in IMPS charges for certain Current Account
l Please refer to the notice on our website regarding Monthly/ Quarterly Average Balance waiver for Retail
variants.For details, visit
Current Account (Business Banking) customers who have opted for the EMI option. For details,visit https://
https://www.icicibank.com/content/dam/icicibank/india/managed-assets/docs/service-charges/corporate/current-a
www.icicibank.com/content/dam/icicibank/india/managed-assets/docs/service-charges/corporate/current-
ccounts/notice-for-revision-in-imps-charges-for-current-account-customers-1.pdf
accounts/mabqab-waiver-notice.pdf
Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex, Mumbai - 400051, India. www.icicibank.com Page 4 of 4 M-87974551-1
Registered Office: ICICI Bank Tower, Near Chakli Circle, Old Padra Road, Vadodara, Gujarat. Pin – 390 007. Category of service: Banking & Financial Services.
Registration No. MIV/ST/Bank & Finc/4.
This is an authenticated intimation/statement.
CIN : L65190GJ1994PLC021012
Customers are requested to immediately notify the Bank in case of any error(s) in the statement. SR244554715