MR - Peer Mohideen Asan Mohideen: Page 1 of 2 M-87654321-1

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Page 1 of 2 M-87654321-1

660904/87654321-1/1-2/NRINRI/10-21

MR.PEER MOHIDEEN ASAN MOHIDEEN


5-2,RAJAGOPAL STREET,MADURANDAKAM TAMILNADU
.
. - INDIA - 603306
Your Base Branch : CHENNAI - VALLUVARKOTTAM
BRANCH, ICICI BANK LTD., OLD NO:41,NEW NO:4 NEW
TANK STREET,VALLUVARKOTTAM 600034

: Visit www.icicibank.com
Å Dial your Bank +91 40 3099 8025
This is not a toll free number. Please call from your Registered mobile
number for faster access.

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.

Summary of Accounts held under Customer ID : XXXXX8025 as on September 30, 2020

ACCOUNT DETAILS - INR


ACCOUNT TYPE A/C. BALANCE (I) FIXED DEPOSITS (LINKED) BAL. (II) TOTAL BALANCE (I+II) NOMINATION
Savings - NRE A/c XXXXXXXX5338 13,096.51 0.00 13,096.51 Not Registered
Savings - NRO A/c XXXXXXXX5339 16,440.86 0.00 16,440.86 Not Registered
TOTAL 29,537.37 0.00 29,537.37

Statement of transactions in Savings Account XXXXXXXX5338 in INR for the period September 01, 2020 - September 30, 2020

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


01-09-2020 B/F 11,985.51
MMT/IMPS/025812221628/Family maintena/NATIONAL B/Axis
14-09-2020 MOBILE BANKING 1,000.00 12,985.51
Bank
29-09-2020 660901075338:Int.Pd:29-06-2020 to 28-09-2020 111.00 13,096.51
Total: 1,111.00 0.00 13,096.51

Statement of transactions in Savings Account XXXXXXXX5339 in INR for the period September 01, 2020 - September 30, 2020

DATE MODE PARTICULARS DEPOSITS WITHDRAWALS BALANCE


01-09-2020 B/F 15,843.56
UPI/024536363061/Payment from Ph/9994053242@ybl/Canara
01-09-2020 289.00 16,132.56
Bank
MMT/IMPS/024712577727/Quick Pay
03-09-2020 MOBILE BANKING 535.90 15,596.66
FT/Friends/KVBL0001434/chgRs5.00GSTRs0.90
MMT/IMPS/024812612261/Quick Pay
04-09-2020 MOBILE BANKING 955.90 14,640.76
FT/Friends/VIJB0007308/chgRs5.00GSTRs0.90
UPI/025148111037/Payment from Ph/9994053242@ybl/Canara
07-09-2020 4,200.00 18,840.76
Bank
MMT/IMPS/025621017681/Quick Pay
14-09-2020 MOBILE BANKING 2,475.90 16,364.86
FT/Friends/KVBL0001434/chgRs5.00GSTRs0.90
29-09-2020 660901075339:WTax.Pd:29-06-2020to 28-09-2020 35.00 16,329.86
29-09-2020 660901075339:Int.Pd:29-06-2020 to 28-09-2020 111.00 16,440.86
Total: 4,600.00 4,002.70 16,440.86

Summary of TDS/Interest on Fixed Deposits during the period September 01, 2020 - September 30, 2020

DATE OF TAX WITHHELD/


ACCOUNT INTEREST PAID/
PAYMENT/ TAX DEDUCTED
NUMBER CREDITED (INR)
CREDIT (INR)
Opening Balance (Cumulative) 108.00 34.00

660901075338 29-09-2020 111.00 0.00

660901075339 29-09-2020 111.00 35.00

Closing Balance (Cumulative) 330.00 69.00

ROG_SR168104268_DB_SS_30042021
Page 2 of 2 M-87654321-1

Account Related Other Information


ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFS CODE NAME OF NOMINEE* NAME OF MANDATE HOLDER
Savings - NRE XXXXXXXX5338 600229064 ICIC0006609 - -

Savings - NRO XXXXXXXX5339 600229064 ICIC0006609 - -

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

Sincerely,

ICICI Bank Limited


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

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 above Rs 2 Lakh) NEFT - National Electronic Fund Transfer

l Do not fall prey to fictitious offers of winning prizes, money circulation schemes and l In case your PAN is not updated in our record, please visit the nearest branch and provide a
cheap funds, etc. through SMS, e-mails and calls. copy of the PAN card along with the original PAN card for verification.
l With effect from May 03, 2020, service charges for Savings Account have been revised. l The address of the customer in Form 16A will be the last updated address in the data base of
For details, please visit www.icicibank.com/notice-board.page the Income tax department.
l As per prevailing guidelines of the Income tax Act, 1961 if a valid PAN is not provided l PMJJBY Insurance: Insurance premium is collected on behalf of ICICI Prudential Life Insurance
by the Customer then tax shall be deducted at the prevailing rate or 20%, whichever is Company Limited plus Administration charges collected by ICICI Bank (including GST) in line
higher. with extant laws. Effective Sep 01, 2018, premium is charged on a pro rata basis for all new
l As per guidelines issued by CBDT on May 13,2011, Form 16A (TDS Certificates) will be enrolments in the scheme. It is noteworthy that the renewal premium for all existing customers
generated through the Income tax website for which the PAN of the customer needs to shall be charged for a period of one year (i.e. Rs 330) on May 25-31 every year. For details on
be necessarily updated in Bank's record. premium structure, refer Terms & Conditions under Pradhan Mantri Social Security Schemes at
www.icicibank.com.

Corporate Office: ICICI Bank Ltd., ICICI Bank Towers, Bandra-Kurla complex, Mumbai - 400051, India. www.icicibank.com
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 discrepancy in the statement.
ROG_SR168104268_DB_SS_30042021

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