Page 1 of 7 M-545140

026300/545140/1-8/RESWS/02-03 Vichare
Your Relationship Manager : RUPAM KUMAR
Contact Number : 7290018441
MS.MAYA GURJAR E-mail ID : rupam.kumar@icicibank.com
B/3/16, SHREE PUNIT NAGAR, 3RD FLOOR,
S.V. ROAD, NR. SAIBABA NAGAR, BORIVALI (WEST)
MUMBAI Your Customer Service Manager : SAURABH KUMAR
Contact Number : 9811995706
MAHARASHTRA - INDIA - 400092
E-mail ID : saurabh.kr@icicibank.com

Your Base Branch : LOKHANDWALA BRANCH,

SAMARTH VAIBHAV,OFF K.W.MARG, LOKHANDWALA
COMPLEX,OSHIVARA, ANDHERI WEST 400053

: Visit www.icicibank.com
Å Dial your Bank (Toll-free) 1800-103-8181
Please call from your Registered mobile number for faster access.

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: 503733566 in INR as on March 31, 2018

RELATIONSHIP BALANCE
Savings Account Balance(A) 2,000.82
Fixed Deposits linked to Savings Account Balance(B) 0.00
Total Savings Account Balance(A + B) 2,000.82
Current Account Balance 0.00
Total Fixed Deposits Balance 0.00
Total Recurring Deposits Balance 0.00
TOTAL DEPOSITS 2,000.82
 Page 2 of 7 M-545140

MS.MAYA GURJAR

ACCOUNT DETAILS - INR

ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings A/c 000401546677 2,000.82 0.00 2,000.82 Registered

TOTAL 2,000.82 0.00 2,000.82

Statement of Transactions in Savings Account 000401546677 in INR for the period April 01, 2017 - March 31, 2018

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

01-04-2017 B/F 47,016.95
03-04-2017 NET BANKING VIN/ITUNES.COM//20170402153403/0 65.00 46,951.95
03-04-2017 CHEQUE 236102 CASH PAID:SELF 23,500.00 23,451.95
CHQ,236102
04-04-2017 REF DISCOUNT ON FUEL PURCHASE 18.00 23,469.95
06-04-2017 DEBIT CARD VPS/KAFICKO /20170406150553/0 2,021.00 21,448.95
06-04-2017 rev of pmt id 1176580728 6,037.00 27,485.95
12-04-2017 CHEQUE 236103 THE VILAS CONDOMINIUM ASS 10,000.00 17,485.95
12-04-2017 DEBIT CARD VPS/ADARA /20170412200027/0 6,516.00 10,969.95
15-04-2017 NEFT-N105170275653353-NAVSAHVI INTERIOR PVT LTD-- 65,000.00 75,969.95
4838630000221-HDFC0001669
19-04-2017 CHEQUE 236104 THE VILAS CONDOMINIUM ASS 61,740.00 14,229.95
20-04-2017 NET BANKING VIN/ITUNES.COM//20170420020522/0 400.00 13,829.95
20-04-2017 DEBIT CARD VPS/TESSUTI. /20170420182242/0 1,782.00 12,047.95
21-04-2017 NET BANKING IIN/RFND/I-Debit/Make My T/20170421165303 7,318.00 19,365.95
24-04-2017 NET BANKING IIN/RFND/I-Debit/Indigo Ai/20170422153447 600.00 19,965.95
24-04-2017 DEBIT CARD VPS/PET WORLD /20170424115314/0 895.00 19,070.95
24-04-2017 DEBIT CARD VPS/M/S LOHIYA /20170424173134/0 373.00 18,697.95
02-05-2017 NET BANKING VIN/ITUNES.COM//20170502153354/0 65.00 18,632.95
03-05-2017 DEBIT CARD VPS/BIKANERVALA/20170503165636/0 2,950.00 15,682.95
03-05-2017 DEBIT CARD IPS/SAMRAT SWEE/20170503180803/0 1,215.00 14,467.95
03-05-2017 DEBIT CARD IPS/SAMRAT SWEE/20170503180910/0 720.00 13,747.95
03-05-2017 DEBIT CARD VPS/SATBIR FILL/20170503210420/0 3,000.00 10,747.95
18-05-2017 MOBILE BANKING MMT/713813182385/9810033057 4,400.00 15,147.95
18-05-2017 REF DISCOUNT ON FUEL PURCHASE 22.50 15,170.45
20-05-2017 DEBIT CARD VPS/SEPHORA CHA/20170520162416/0 14,988.44 182.01
02-06-2017 NET BANKING VIN/ITUNES.COM//20170602153359/0 65.00 117.01
03-06-2017 BY CASH - DELHI - CHHATTARPUR 50,000.00 50,117.01
06-06-2017 BY CASH - DELHI - CHHATTARPUR 4,000.00 54,117.01
07-06-2017 RTGS-IBKLR92017060700021974-NITIN BALKRISHNA KULK 2,00,000.00 2,54,117.01
RNI-0001104000417242-IBKL0000001
07-06-2017 DEBIT CARD VPS/SIAM PARAGO/20170607200845/0 2,565.68 2,51,551.33
12-06-2017 DEBIT CARD VPS/MISTY MYNX(/20170610191249/0 4,423.40 2,47,127.93
12-06-2017 POSDEC CHG/26-05-17/0262/25+ST 28.75 2,47,099.18
12-06-2017 POSDECCHG/260517/0262/25+ST_2 28.75 2,47,070.43
12-06-2017 DEBIT CARD VPS/ISLAND GIRL/20170612161149/0 6,212.95 2,40,857.48
12-06-2017 DEBIT CARD VPS/MISTY MYNX(/20170612175711/0 9,766.44 2,31,091.04
12-06-2017 DEBIT CARD VPS/JELLY DREAM/20170612191434/0 9,578.38 2,21,512.66
14-06-2017 DEBIT CARD VPS/KING POWER /20170614151819/0 2,299.66 2,19,213.00
14-06-2017 DEBIT CARD VPS/KING POWER /20170614154250/0 2,453.06 2,16,759.94
14-06-2017 Dt:07/06/17 SIAM PARAGON DEPT. 9.00 2,16,768.94
15-06-2017 Dt:12/06/17 ISLAND GIRL 17.00 2,16,751.94
15-06-2017 Dt:12/06/17 JELLY DREAMS-JUNGC 26.20 2,16,725.74
15-06-2017 Dt:12/06/17 MISTY MYNX JUNGCEL 26.72 2,16,699.02
17-06-2017 DEBIT CARD VPS/HARE KRISHN/20170617130334/0 2,200.00 2,14,499.02
19-06-2017 Dt:14/06/17 KING POWER DUTY FR 0.75 2,14,498.27
19-06-2017 DEBIT CARD VPS/DR SATISH C/20170619175912/0 1,000.00 2,13,498.27
19-06-2017 DEBIT CARD VPS/PET WORLD /20170619180720/0 1,720.00 2,11,778.27
19-06-2017 NET BANKING BIL/001233905330/MAYAMAAM/1403101077036 9,000.00 2,02,778.27
19-06-2017 NET BANKING BIL/001233942845/vilaspaymentcam/50200004145602 53,879.00 1,48,899.27
Total: 3,37,404.50 2,35,522.18 1,48,899.27
 Page 3 of 7 M-545140

MS.MAYA GURJAR

Statement of Transactions in Savings Account 000401546677 in INR for the period April 01, 2017 - March 31, 2018

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

19-06-2017 NET BANKING BIL/001233946178/electricity/50200004145602 10,000.00 1,38,899.27
19-06-2017 DEBIT CARD IPS/BIG BAZAAR /20170619185253/0 540.00 1,38,359.27
19-06-2017 DEBIT CARD IPS/BIG BAZAAR /20170619185738/0 8,489.49 1,29,869.78
19-06-2017 DEBIT CARD IPS/BIG BAZAAR /20170619191740/0 661.00 1,29,208.78
19-06-2017 DEBIT CARD VPS/PRIVE SKIN /20170619205516/0 8,000.00 1,21,208.78
19-06-2017 DEBIT CARD VPS/RWL HEALTHW/20170619211924/0 479.78 1,20,729.00
20-06-2017 NET BANKING BIL/001234520040/airtel landline bill/AIRT0117060 3,900.61 1,16,828.39
20-06-2017 NET BANKING BIL/001234522018/airtel mobile bill/AIRT011706006 2,374.00 1,14,454.39
20-06-2017 REF HARE KRISHNA FUELS 16.50 1,14,470.89
22-06-2017 NET BANKING BIL/001235776043/share/NSP 65,000.00 49,470.89
23-06-2017 DEBIT CARD VPS/H AND M HEN/20170623180342/0 7,418.00 42,052.89
26-06-2017 DEBIT CARD VPS/PRIVE SKIN /20170626205606/0 8,000.00 34,052.89
27-06-2017 DEBIT CARD VPS/HARE KRISHN/20170627124842/0 2,301.97 31,750.92
29-06-2017 000401546677:Int.Pd:31-03-2017 to 28-06-2017 521.00 32,271.92
30-06-2017 DEBIT CARD VPS/PRIVE SKIN /20170630211701/0 16,000.00 16,271.92
01-07-2017 DEBIT CARD VPS/TESSUTI. /20170701143159/0 3,844.00 12,427.92
01-07-2017 REF HARE KRISHNA FUELS 17.26 12,445.18
03-07-2017 NET BANKING VIN/ITUNES.COM//20170702153402/0 65.00 12,380.18
13-07-2017 UPI/719415160126/9953982398@upi 5,000.00 17,380.18
15-07-2017 NET BANKING VIN/ITUNES.COM//20170715232729/0 60.00 17,320.18
18-07-2017 DEBIT CARD VPS/LICOUTURE A/20170718200045/0 100.00 17,220.18
18-07-2017 DEBIT CARD VPS/PAYMNT RVSL/20170718200045/1/000401546677 100.00 17,320.18
18-07-2017 NET BANKING BIL/001253936515/electricitypayment/5020000414560 5,000.00 12,320.18
25-07-2017 NET BANKING BIL/001257750664//INDIGO_JICI5526 10,156.00 2,164.18
25-07-2017 NET BANKING VIN/ITUNES.COM//20170725232744/0 15.00 2,149.18
27-07-2017 rev of pmt id 1257750664 9,756.00 11,905.18
27-07-2017 DEBIT CARD VPS/Marhaba Lou/20170727195704/0 2,192.57 9,712.61
02-08-2017 Dt:27/07/17 Marhaba Lounges 10 6.86 9,719.47
02-08-2017 NET BANKING VIN/ITUNES.COM//20170802153348/0 65.00 9,654.47
07-08-2017 DEBIT CARD VPS/DUBAI DUTY /20170806155022/0 7,789.00 1,865.47
16-08-2017 BY CASH-DELHI - CHHATTARPUR 1,000.00 2,865.47
19-08-2017 CHEQUE 410144 TO SAKHA SERVICES PVT LTD 2,228.00 637.47
22-08-2017 NEFT-N234170353333872-NAVSAHVI INTERIOR PVT LTD-- 7,50,000.00 7,50,637.47
4838630000221-HDFC0001669
28-08-2017 DEBIT CARD VPS/TESSUTI. /20170826191712/0 9,551.00 7,41,086.47
28-08-2017 DEBIT CARD VPS/ANDANI ENTE/20170826210542/0 5,750.00 7,35,336.47
28-08-2017 DEBIT CARD VPS/HARE KRISHN/20170828132115/0 2,450.00 7,32,886.47
29-08-2017 NET BANKING VIN/ITUNES.COM//20170829174930/0 18.00 7,32,868.47
30-08-2017 RTGS-HDFCR52017083052674379-NAVSAHVI INTERIOR PVT 5,00,000.00 12,32,868.47
LTD-04838630000221-HDFC0001669
31-08-2017 DEBIT CARD VPS/ADARA /20170831175711/0 6,088.00 12,26,780.47
31-08-2017 MOBILE BANKING MMT/Ref724316358868/9115103100000 25,000.00 12,01,780.47
01-09-2017 MOBILE BANKING MMT/Ref724414487054/7447000100025 10,000.00 11,91,780.47
02-09-2017 NET BANKING VIN/ITUNES.COM//20170902153409/0 18.00 11,91,762.47
02-09-2017 NET BANKING VIN/ITUNES.COM//20170902153411/0 75.00 11,91,687.47
02-09-2017 DEBIT CARD VPS/SURYANSH FA/20170902171015/0 15,722.00 11,75,965.47
02-09-2017 DEBIT CARD VPS/K C CREATIO/20170902173730/0 4,277.00 11,71,688.47
02-09-2017 DEBIT CARD VPS/H P SINGH A/20170902185755/0 5,789.00 11,65,899.47
02-09-2017 DEBIT CARD VPS/H P SINGH A/20170902190013/0 6,710.00 11,59,189.47
02-09-2017 DEBIT CARD VPS/TESSUTI. /20170902200433/0 16,412.00 11,42,777.47
04-09-2017 DEBIT CARD IPS/PRIVEE /20170903030330/0 2,899.00 11,39,878.47
04-09-2017 DEBIT CARD VPS/ADARA /20170904174626/0 1,204.00 11,38,674.47
06-09-2017 DEBIT CARD VPS/DR SATISH C/20170906182704/0 2,000.00 11,36,674.47
06-09-2017 DEBIT CARD VPS/DEEPIKA ENT/20170906191902/0 1,400.00 11,35,274.47
07-09-2017 DEBIT CARD VPS/HARE KRISHN/20170907123250/0 2,510.92 11,32,763.55
08-09-2017 DEBIT CARD VPS/BINGE /20170908182711/0 722.00 11,32,041.55
Total: 12,66,417.62 2,83,275.34 11,32,041.55
 Page 4 of 7 M-545140

MS.MAYA GURJAR

Statement of Transactions in Savings Account 000401546677 in INR for the period April 01, 2017 - March 31, 2018

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

11-09-2017 DEBIT CARD VPS/SURYANSH FA/20170909184543/0 11,650.00 11,20,391.55
11-09-2017 DEBIT CARD VPS/RAMJI SONS /20170909191551/0 340.00 11,20,051.55
11-09-2017 DEBIT CARD VPS/K.C.CREATIO/20170909193302/0 6,279.00 11,13,772.55
11-09-2017 DEBIT CARD VPS/STELATOES S/20170909195803/0 2,645.00 11,11,127.55
11-09-2017 MOBILE BANKING MMT/Ref725310606548/5010015465627 21,080.00 10,90,047.55
11-09-2017 VPS_PRO_8241/21295_8241_7/15/2 60.00 10,90,107.55
12-09-2017 REF DISCOUNT ON FUEL PURCHASE 18.38 10,90,125.93
12-09-2017 DEBIT CARD VPS/SHIV SAREE /20170912132058/0 2,100.00 10,88,025.93
12-09-2017 DEBIT CARD VPS/NEW SONI JE/20170912134847/0 2,960.00 10,85,065.93
12-09-2017 DEBIT CARD VPS/THE PRAKAAS/20170912151911/0 4,491.00 10,80,574.93
12-09-2017 DEBIT CARD VPS/K C CREATIO/20170912155828/0 4,438.00 10,76,136.93
13-09-2017 MOBILE BANKING MMT/Ref725617243733/5020000414560 10,000.00 10,66,136.93
13-09-2017 DEBIT CARD VPS/ADARA /20170914012120/0 14,184.00 10,51,952.93
15-09-2017 NET BANKING BIL/001293284326/LICOUTURE AVATARS LL/NSP 59,500.00 9,92,452.93
15-09-2017 DEBIT CARD VPS/ADARA /20170915194131/0 1,104.00 9,91,348.93
15-09-2017 DEBIT CARD VPS/SATBIR FILL/20170915152524/0 4,600.00 9,86,748.93
15-09-2017 DEBIT CARD VPS/MCDONALD S /20170915213546/0 224.20 9,86,524.73
15-09-2017 DEBIT CARD IPS/Vaango /20170915220545/0 448.00 9,86,076.73
16-09-2017 DEBIT CARD VPS/DEEPIKA ENT/20170916142432/0 117.00 9,85,959.73
16-09-2017 DEBIT CARD VPS/DEEPIKA ENT/20170916142554/0 600.00 9,85,359.73
16-09-2017 DEBIT CARD VPS/DEEPIKA ENT/20170916142704/0 600.00 9,84,759.73
16-09-2017 DEBIT CARD VPS/HARE KRISHN/20170916144840/0 2,650.15 9,82,109.58
18-09-2017 CHEQUE 236110 CASH PAID: SELF 9,200.00 9,72,909.58
CHQ,236110
18-09-2017 NET BANKING BIL/001294811435//VODAFONE_JICI56 3,876.00 9,69,033.58
18-09-2017 NET BANKING BIL/001294815832//AIRT01170900948 2,260.00 9,66,773.58
18-09-2017 CHEQUE 236109 CASH PAID:SELF 10,000.00 9,56,773.58
CHQ,236109
19-09-2017 REF DISCOUNT ON FUEL PURCHASE 18.83 9,56,792.41
19-09-2017 DEBIT CARD VPS/K C ASTIR C/20170919211500/0 2,156.00 9,54,636.41
19-09-2017 MOBILE BANKING MMT/Ref726216298547/63053792971 25,000.00 9,29,636.41
19-09-2017 DEBIT CARD VPS/H P SINGH A/20170919170105/0 8,559.00 9,21,077.41
19-09-2017 DEBIT CARD VPS/TESSUTI. /20170919170404/0 10,631.00 9,10,446.41
19-09-2017 DEBIT CARD VPS/RAMJI SONS /20170919175108/0 1,015.00 9,09,431.41
19-09-2017 DEBIT CARD VPS/SURYANSH FA/20170919183645/0 14,234.00 8,95,197.41
20-09-2017 CHEQUE 236107 HDFC BANK LTD 23,529.00 8,71,668.41
20-09-2017 DEBIT CARD VPS/THE MILLENN/20170920212043/0 471.00 8,71,197.41
21-09-2017 REF HARE KRISHNA FUELS 19.88 8,71,217.29
21-09-2017 MOBILE BANKING MMT/Ref726414753661/31099356021 9,600.00 8,61,617.29
22-09-2017 DEBIT CARD VPS/QUEENS JEWE/20170922145958/0 3,500.00 8,58,117.29
22-09-2017 DEBIT CARD VPS/THE MILLENN/20170922220238/0 225.00 8,57,892.29
25-09-2017 DEBIT CARD VPS/VENUS STEPS/20170923193338/0 5,570.00 8,52,322.29
25-09-2017 DEBIT CARD IPS/FRONTIER RA/20170923202039/0 48,000.00 8,04,322.29
25-09-2017 OTHER ATMS NFS/CASH WDL/24-09-17 10,000.00 7,94,322.29
25-09-2017 OTHER ATMS NFS/CASH WDL/24-09-17 10,000.00 7,84,322.29
25-09-2017 OTHER ATMS NFS/CASH WDL/24-09-17 10,000.00 7,74,322.29
25-09-2017 OTHER ATMS NFS/CASH WDL/24-09-17 10,000.00 7,64,322.29
25-09-2017 DEBIT CARD VPS/Max Hyperma/20170925130849/0 18,320.45 7,46,001.84
25-09-2017 CHEQUE 236112 CASH PAID:SELF 4,000.00 7,42,001.84
CHQ,236112
26-09-2017 DEBIT CARD IPS/BIG BAZAAR /20170926110934/0 4,134.54 7,37,867.30
26-09-2017 DEBIT CARD IPS/SAMRAT SWEE/20170926112749/0 214.00 7,37,653.30
26-09-2017 DEBIT CARD VPS/ADARA /20170926175626/0 29,500.00 7,08,153.30
26-09-2017 DEBIT CARD VPS/SATBIR FILL/20170926124256/0 2,497.71 7,05,655.59
26-09-2017 DEBIT CARD VPS/SHIV SAREE /20170926144019/0 24,000.00 6,81,655.59
26-09-2017 DEBIT CARD VPS/NEW SONI JE/20170926154345/0 30,280.00 6,51,375.59
Total: 117.09 4,80,783.05 6,51,375.59
 Page 5 of 7 M-545140

MS.MAYA GURJAR

Statement of Transactions in Savings Account 000401546677 in INR for the period April 01, 2017 - March 31, 2018

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

26-09-2017 DEBIT CARD VPS/SURYANSH FA/20170926173654/0 29,559.00 6,21,816.59
26-09-2017 DEBIT CARD VPS/GOPALA. /20170926184700/0 658.00 6,21,158.59
27-09-2017 NET BANKING BIL/001300208841/licouture/NSP 28,840.00 5,92,318.59
27-09-2017 NET BANKING BIL/001300283088//AIRT01170900976 3,418.00 5,88,900.59
28-09-2017 REF DISCOUNT ON FUEL PURCHASE 34.50 5,88,935.09
28-09-2017 OTHER ATMS NFS/CASH WDL/28-09-17 2,000.00 5,86,935.09
28-09-2017 OTHER ATMS NFS/CASH WDL/28-09-17 10,000.00 5,76,935.09
28-09-2017 OTHER ATMS NFS/CASH WDL/28-09-17 10,000.00 5,66,935.09
28-09-2017 OTHER ATMS NFS/CASH WDL/28-09-17 10,000.00 5,56,935.09
28-09-2017 OTHER ATMS NFS/CASH WDL/28-09-17 10,000.00 5,46,935.09
28-09-2017 OTHER ATMS NFS/CASH WDL/28-09-17 8,000.00 5,38,935.09
30-09-2017 000401546677:Int.Pd:29-06-2017 to 29-09-2017 3,506.00 5,42,441.09
03-10-2017 DEBIT CARD VPS/DOMINOS PIZ/20171001162259/0 495.82 5,41,945.27
03-10-2017 NET BANKING VIN/ITUNES.COM//20171002153406/0 75.00 5,41,870.27
03-10-2017 DEBIT CARD IPS/BAJAJ SON/20171003132241/0 3,920.00 5,37,950.27
03-10-2017 DEBIT CARD VPS/RAMJI SONS /20171003140523/0 1,470.00 5,36,480.27
03-10-2017 DEBIT CARD VPS/RAMJI SONS /20171003145807/0 5,770.00 5,30,710.27
03-10-2017 DEBIT CARD VPS/RAMJI SONS /20171003154317/0 3,739.00 5,26,971.27
03-10-2017 DEBIT CARD VPS/K C CREATIO/20171003154541/0 787.00 5,26,184.27
03-10-2017 DEBIT CARD VPS/SONI SAPPHI/20171003171517/0 22,050.00 5,04,134.27
04-10-2017 DEBIT CARD VPS/HARE KRISHN/20171004123654/0 2,400.00 5,01,734.27
04-10-2017 CHEQUE 236114 TRFR TO: LICOUTURE AVATARS LLP 44,525.00 4,57,209.27
06-10-2017 DEBIT CARD VPS/Marhaba Lou/20171006194550/0 2,218.13 4,54,991.14
07-10-2017 CHEQUE 236117 CASH PAID:SELF 23,362.00 4,31,629.14
CHQ,236117
09-10-2017 CHEQUE 236118 NAVEEN KUMAR 21,800.00 4,09,829.14
09-10-2017 DEBIT CARD VPS/H & M -CC38/20171009192503/0 17,116.99 3,92,712.15
11-10-2017 Dt:06/10/17 Marhaba Lounges 10 6.96 3,92,705.19
13-10-2017 CHEQUE 236116 CASH PAID:SELF 30,000.00 3,62,705.19
CHQ,236116
13-10-2017 CHEQUE 236113 CASH PAID:SELF 10,000.00 3,52,705.19
CHQ,236113
16-10-2017 DEBIT CARD VPS/BAKER N SPI/20171014174338/0 2,302.28 3,50,402.91
16-10-2017 DEBIT CARD VPS/Zara Kaswa /20171015230616/0 33,245.16 3,17,157.75
16-10-2017 Dt:09/10/17 H M -CC3890 4.91 3,17,152.84
17-10-2017 CHEQUE 236119 THE VILAS CONDOMINIUM ASS 10,000.00 3,07,152.84
21-10-2017 DEBIT CARD VPS/BIKANERVALA/20171021125012/0 1,432.00 3,05,720.84
21-10-2017 VPRPRO_VIN/ITUNES_2795_8/29/20 18.00 3,05,738.84
23-10-2017 Dt:15/10/17 Zara Kaswa Trading 96.99 3,05,835.83
23-10-2017 OTHER ATMS NFS/CASH WDL/23-10-17 10,000.00 2,95,835.83
24-10-2017 REF DISCOUNT ON FUEL PURCHASE 18.00 2,95,853.83
25-10-2017 DEBIT CARD VPS/Sephora Cha/20171025173814/0 16,606.03 2,79,247.80
25-10-2017 DEBIT CARD VPS/PROGOLF G08/20171025192650/0 24,512.10 2,54,735.70
25-10-2017 CHEQUE 236122 TO SAKHA SERVICES PVT LTD 1,693.00 2,53,042.70
26-10-2017 DEBIT CARD VPS/MARKS&SPENC/20171026205010/0 7,578.37 2,45,464.33
26-10-2017 DEBIT CARD VPS/Zara Kaswa /20171026214231/0 5,508.19 2,39,956.14
27-10-2017 CHEQUE 236115 CASH PAID:Self 20,000.00 2,19,956.14
30-10-2017 CHEQUE 236124 HDFC BANK LTD 23,529.00 1,96,427.14
31-10-2017 Dt:26/10/17 MARKS SPENCER-DXBM 31.01 1,96,458.15
31-10-2017 Dt:26/10/17 Zara Kaswa Trading 316.85 1,96,141.30
02-11-2017 NET BANKING VIN/ITUNES.COM//20171102153349/0 75.00 1,96,066.30
03-11-2017 VPS PRO_VPS/DEEPIK_1240_9/16/2 600.00 1,96,666.30
03-11-2017 DEBIT CARD VPS/CRAVINGS WI/20171103221220/0 1,577.06 1,95,089.24
06-11-2017 DEBIT CARD VPS/Joe Raad Be/20171105194701/0 3,116.00 1,91,973.24
06-11-2017 DEBIT CARD VPS/DUBAI DUTY /20171106144841/0 6,470.27 1,85,502.97
06-11-2017 DEBIT CARD VPS/Boots Cc D3/20171106151744/0 6,385.12 1,79,117.85
Total: 4,304.50 4,76,562.24 1,79,117.85
 Page 6 of 7 M-545140

MS.MAYA GURJAR

Statement of Transactions in Savings Account 000401546677 in INR for the period April 01, 2017 - March 31, 2018

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE

07-11-2017 DEBIT CARD VPS/VODAFONE MO/20171107115407/0 7,000.00 1,72,117.85
07-11-2017 DEBIT CARD VPS/BHARTI AIRT/20171107120822/0 5,500.00 1,66,617.85
08-11-2017 Dt:03/11/17 CRAVINGS WITH COUT 0.71 1,66,618.56
10-11-2017 Dt:06/11/17 DUBAI DUTY FREE-CB 9.06 1,66,609.50
20-11-2017 DEBIT CARD VPS/MOTHERCARE /20171119140254/0 4,539.70 1,62,069.80
20-11-2017 DEBIT CARD IPS/ROSSO BRUNE/20171119154328/0 8,418.00 1,53,651.80
22-11-2017 CHEQUE 236125 HDFC BANK LTD 23,529.00 1,30,122.80
23-11-2017 NET BANKING VIN/ITUNES.COM//20171123231843/0 400.00 1,29,722.80
29-11-2017 CHEQUE 236123 THE VILAS CONDOMINIUM ASS 49,643.00 80,079.80
02-12-2017 NET BANKING VIN/ITUNES.COM//20171202163405/0 75.00 80,004.80
06-12-2017 NET BANKING BIL/001347564231/LICOUTURE AVATARS LL/NSP 27,000.00 53,004.80
20-12-2017 CHEQUE 236126 SAKHA SERVICES 826.00 52,178.80
22-12-2017 CHEQUE 236127 HDFC BANK LTD 23,529.00 28,649.80
22-12-2017 CHEQUE 236121 BHARTI AIRTEL LTD 2,200.00 26,449.80
26-12-2017 DEBIT CARD VPS/PET WORLD /20171223200942/0 1,080.00 25,369.80
26-12-2017 DEBIT CARD VPS/HARE KRISHN/20171223212257/0 2,000.00 23,369.80
26-12-2017 DEBIT CARD VPS/TATA STARBU/20171223225419/0 756.00 22,613.80
26-12-2017 DEBIT CARD IPS/INTERGLOBE /20171224100721/0 2,700.00 19,913.80
29-12-2017 DEBIT CARD IPS/ADARA /20171229153510/0 7,001.00 12,912.80
30-12-2017 000401546677:Int.Pd:30-09-2017 to 29-12-2017 1,663.00 14,575.80
01-01-2018 REF HARE KRISHNA FUELS 15.00 14,590.80
02-01-2018 NET BANKING VIN/ITUNES.COM//20180102163356/0 75.00 14,515.80
03-01-2018 DEBIT CARD VPS/ADARA /20180103192457/0 650.00 13,865.80
02-02-2018 NET BANKING VIN/ITUNES.COM//20180202163357/0 75.00 13,790.80
12-02-2018 CHEQUE 236130 SAKHA SERVICES PL 1,140.00 12,650.80
02-03-2018 NET BANKING VIN/ITUNES.COM//20180302163358/0 75.00 12,575.80
12-03-2018 DEBIT CARD VPS/DUBAI DUTY /20180312222151/0 9,965.16 2,610.64
28-03-2018 Coral Paywave Drcard Jfee+GST 706.82 1,903.82
30-03-2018 000401546677:Int.Pd:30-12-2017 to 29-03-2018 97.00 2,000.82
Total: 1,775.71 1,78,892.74 2,000.82

REWARD POINTS SUMMARY

SAVINGS ACCOUNT LINKED PAYBACK Points earned for the month of February, 2018
POINTS BALANCE*
NUMBER NUMBER
My Savings REWARD DEBIT CARD
000401546677 9401150514815603 0 0 56430
To get current reward points balance and for other queries visit www.icicibank.com or call ICICI Bank Customer Care.
* As on March 20, 2018, includes points earned through other PAYBACK partners
Points earned for the month will reflect with a lag of up to 50 days in the point balance.

Account Related Other Information

ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE*
Savings 000401546677 400229036 ICIC0000263 -
* Nominee name is displayed only on specific consent of customer.
 Page 7 of 7 M-545140

MS.MAYA GURJAR

For ICICI Bank Limited

Girish Sehgal
Head - Wealth Management

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 ICICI Direct 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

• As per prevailing guidelines of the Income Tax Act, 1961, if a valid PAN is not provided by • In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
the customer, then tax shall be deducted at the prevailing rate or 20%, whichever is higher.
• In case your PAN is not updated in our record, please visit the nearest branch and provide a
• As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be copy of the PAN card, along with the original PAN card for verification.
generated through the Income tax website for which the PAN of the customer needs to be
necessarily updated in Bank's record. • The address of the customer in Form 16A will be the last updated address in the data base of
the income tax department.
• 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 • As per PMJJY, debit of Rs.289 is towards insurance premium collected on behalf of ICICI
in the same right and same capacity. 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.
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 of any discrepancy in the statement.
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