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MHW1/181D/1-1/WBF-M/03-12

420801500266??RENU2706 641603

MS.RENUGA VELLIANGIRI Your Base Branch: ICICI BANK LTD., SF NO.285-


B/1,SAKTHI NAGAR,THOTTIPALAYAM VILLAGE,
9,BALAMURUGAN NAGAR 2,TIRUPPUR, P.N.ROAD,641602
VALAIYANGADU EXTN
TIRUPPUR Visit www.icicibank.com
TAMIL NADU - INDIA - 641603 Dial your Bank B479

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 KYC details for your Account.

Summary of Accounts held under Cust ID: 556387835 as on January 31, 2019
ACCOUNT DETAILS - INR
ACCOUNT TYPE A/c BALANCE(I) FIXED DEPOSITS (LINKED) BAL.(II) TOTAL BALANCE(I+II) NOMINATION
Savings A/c 420801500266 1,587.14 0.00 1,587.14 Registered
Current A/c 420805000187 63.00 0.00 63.00 Not Registered
TOTAL 1,650.14 0.00 1,650.14

Statement of Transactions in Savings Account Number: 420801500266 in INR for the period January 01, 2019 - January 31, 2019
DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE
01-01-2019 B/F 726.26
UPI/900111378030/Bill
01-01-2019 Payment/renugagiri1996@/Hutatma Sahakar 8,500.00 9,226.26
BIL/INFT/001609672990/Bill Payment/ /ICICI
01-01-2019 BANK 7,200.00 2,026.26
ACH/ICIPRU 02012019 CAMS/3906001302964
02-01-2019 12060257 11191 2,000.00 26.26
UPI/900519813859/Food/renugagiri1996@/Hutatma
05-01-2019 Sahakar 500.00 526.26
UPI/900519840959/Bill payment/ksnimalan-
05-01-2019 1@oki/Kotak Mahindra/ 500.00 26.26
UPI/900700567853/Plz
07-01-2019 send/muruganrcas@oks/Indian Overseas 150.00 176.26
MMT/IMPS/900709185981/Beneficiary Ver/SURESH
07-01-2019 MOBILE BANKING /Airtel Payments 1.00 177.26
MMT/IMPS/900709188184/IMPS
07-01-2019 MOBILE BANKING Transactio/SURESH /Airtel Payments 2,000.00 2,177.26
UPI/900709296279/Plzz
07-01-2019 send/vigneshsowmis@o/Hutatma Sahakar/ 150.00 2,027.26
07-01-2019 375201-Reimburse-Conveyance 195.00 2,222.26
07-01-2019 375201-Reimburse-Conveyance 270.00 2,492.26
07-01-2019 375201-Reimburse-Conveyance 375.00 2,867.26
08-01-2019 BY CASH-TIRUNELVELI TOWN 2,950.00 5,817.26
08-01-2019 OTHER ATMS NFS/1248EP41/CASH WDL/08-01-19 5,000.00 817.26
09-01-2019 NET BANKING INF/INFT/20190109154651/Bill Payment/Self 800.00 17.26
UPI/901012127983/Food/renugagiri1996@/Hutatma
10-01-2019 Sahakar 300.00 317.26
VPS/THE
10-01-2019 DEBIT CARD CHENNAI/201901101251/901007298221/THIRUPUR 289.00 28.26
BIL/INFT/001618337314/Bill Payment/Renu /ICICI
11-01-2019 BANK 170.00 198.26
UPI/901711769575/Credit
17-01-2019 Card/renugagiri1996@/Hutatma Sahakar 972.00 1,170.26
18-01-2019 BIL/INFT/001622699331/NA/Renu /ICICI BANK 135.00 1,305.26
MMT/IMPS/901823263510/Bill Payment/Mohan
18-01-2019 MOBILE BANKING prab/IBKL0001426 200.00 1,105.26
UPI/901910851223/Food/renugagiri1996@/Hutatma
19-01-2019 Sahakar 65.00 1,170.26
Page 2 of 3

MS.RENUGA VELLIANGIRI

DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE


21-01-2019 CREDIT CARD ATD/Auto Debit CC0xx3462 1,170.00 0.26
MMT/IMPS/902218403359/IMPS
22-01-2019 MOBILE BANKING Transactio/SURESH /Airtel Payments 710.00 710.26
23-01-2019 NET BANKING VIN/BHARTI AIRT/201901231051/902305233473/ 349.00 361.26
VPS/ASHWIN
24-01-2019 DEBIT CARD AUTO/201901241818/902412782039/TIRUPUR 100.00 261.26
UPI/902513147137/Food/renugagiri1996@/Hutatma
25-01-2019 Sahakar 300.00 561.26
VPS/ASHWIN
28-01-2019 DEBIT CARD AUTO/201901281012/902804401661/TIRUPUR 150.00 411.26
UPI/902813849533/Food/renugagiri1996@/ICICI
28-01-2019 Bank 100.00 511.26
28-01-2019 BIL/INFT/001628727199/Friends/ /ICICI BANK 500.00 11.26
29-01-2019 VISA REF ASHWIN AUTOMOBILES 0.75 12.01
30-01-2019 NET BANKING INF/000120368550/SAL FOR JAN-19 375201 14,574.00 14,586.01
30-01-2019 NET BANKING INF/INFT/20190130223649/Bill Payment/Self 10,000.00 4,586.01
BIL/001630490072/ICICI BANK CREDIT
30-01-2019 NET BANKING CA/437551793447 3,000.00 1,586.01
31-01-2019 VISA REF ASHWIN AUTOMOBILES 1.13 1,587.14
TOTAL 32,268.88 31,408.00 1,587.14

Statement of Transactions in Current Account Number: 420805000187 in INR for the period January 01, 2019 - January 31, 2019
DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE
01-01-2019 B/F 0.00
UPI/900111378030/Bill
01-01-2019 Payment/9994154945@icic/Hutatma Sahakar/ 8,500.00 (-) 8,500.00
UPI/900519813859/Food/9994154945@icic/Hutatma
05-01-2019 Sahakar/ 500.00 (-) 9,000.00
09-01-2019 NET BANKING INF/INFT/20190109154651/Bill Payment/Self 800.00 (-) 8,200.00
UPI/901012127983/Food/9994154945@icic/Hutatma
10-01-2019 Sahakar/ 300.00 (-) 8,500.00
UPI/901711769575/Credit
17-01-2019 Card/9994154945@icic/Hutatma Sahakar/ 972.00 (-) 9,472.00
UPI/901910851223/Food/9994154945@icic/Hutatma
19-01-2019 Sahakar/ 65.00 (-) 9,537.00
UPI/902513147137/Food/9994154945@icic/Hutatma
25-01-2019 Sahakar/ 300.00 (-) 9,837.00
UPI/902813849533/Food/9994154945@icic/ICICI
28-01-2019 Bank 100.00 (-) 9,937.00
30-01-2019 NET BANKING INF/INFT/20190130223649/Bill Payment/Self 10,000.00 63.00
TOTAL 10,800.00 10,737.00 63.00

Account Related Other Information


ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFSC CODE NAME OF NOMINEE
Current 420805000187 ICIC0004208 -
Savings 420801500266 641229023 ICIC0002538 -

Nominee name is displayed only on specific consent of customer.


Page 3 of 3

MS.RENUGA VELLIANGIRI

For ICICI Bank Limited

Authorised Signatory

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
VPS/IPS - Debit card transaction TOP - Mobile Recharge
RTGS - Real Time Gross Settlement (Instant Transfer of Rs 2 Lakh and up to Rs 10 Lakh) 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 •In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted.
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 copy
•As per guidelines issued by CBDT on May 13, 2011, Form 16A (TDS Certificates) will be generated of the PAN card along with the original PAN card for verification.
through the Income tax website for which the PAN of the customer needs to be necessarily updated •The address of the customer in Form 16A will be the last updated address in the data base of the
in Bank's record. Income tax department.

REGD ADDRESS: LANDMARK, RACE COURSE CIRCLE, VADODARA - 390 007, INDIA www.icicibank.com
This is an authenticated intimation/statement. Category of service: Banking & Financial Services.
Customers are requested to immediately notify the Bank of any discrepancy in the statement Registration No. MIV/ST/Bank & Finc/4.
MHW1-WBG-M-05-Mar-12/148405000053 - 525322040/207/207 - Utility - 1 of 1 PAN Based STC No. AAACI1195HSST001.

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