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Page 1 of 5 MHW1/181D/1-1/WBF-M/03-12
MR. TIRUMALESWARA RAO J 1-118/2, RAMANNA PALEM, EAST YEDAVALLI POST, KAMAVARAPUKOTA WEST GODAVARI, ANDHRAPRADESH - INDIA - 534426
Your Base Branch: SMR VINAY CAPITOR,G-2DOOR NO-6-3-10,SURVEY NO-120,BALANAGAR,500042
Visit www.icicibank.com Dial your Bank 040-64513170
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: 521588004 as on May 07, 2014 ACCOUNT DETAILS - INR
ACCOUNT TYPE A/c BALANCE(I) FIXED DEPOSITS (LINKED) BAL.(II) TOTAL BALANCE(I+II) NOMINATION Savings A/c 111501501449 11,038.35 0.00 11,038.35 Not Registered TOTAL 11,038.35 0.00 11,038.35 Statement of Transactions in Savings Account Number: 111501501449 in INR for the period November 01, 2013 - April 30, 2014 DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE
01-11-2013 Balance Brought Forward 28,000.00
04-11-2013 NON ICICI ATM NFS/CASH WDL/04-11-13 20,000.00 8,000.00
07-11-2013 TRFR FROM:SALARY FOR OCTOBER 29,267.00 37,267.00
08-11-2013 ICICI ATM ATM/CASH WDL/08-11-13/11:20:58/0 15,000.00 22.267.00
10-11-2013 ICICI ATM ATM/CASH WDL/10-11-13/09:54:47/0 13,000.00 9,267.00
12-11-2013 NEFT-SBIN313309524705-MR NAGA RAJU
10,100.00
19,367.00 NANDAMURI
16-11-2013 ICICI ATM ATM/CASH WDL/16-11-13/13:49:37/0 13,000.00 6,367.00
18-11-2013 ICICI ATM ATM/CASH WDL/18-11-13/13:51:12/0 5,000.00 1,367.00
20-11-2013 NET BANKING BIL/000512442147/Raju/NSP 10,000.00 11,367.00
24-11-2013 ICICI ATM ATM/CASH WDL/24-11-13/14:03:09/0 5,000.00 6,367.00
26-11-2013 ICICI ATM ATM/CASH WDL/26-11-13/20:43:57/0 5,000.00 1,367.00
28-11-2013 NET BANKING BIL/000512537257/Raju/NSP 2,000.00 3,367.00
30-11-2013 ICICI ATM ATM/CASH WDL/30-11-13/21:23:50/0 1,000.00 2,367.00
30-11-2013 NET BANKING BIL/000513827430/tata
500.00 1,867.00 docomo/TATADOCOMO_MICI
30-11-2013 NEFT-SBIN813325035759-MR NAGA RAJU
5,000.00
6,867.00 NANDAMURI
01-12-2013 NET BANKING BIL/000515741071/FROM PRIYA/NSP 3,000.00 3,867.00
01-12-2013 NET BANKING BIL/000516196669/For E.Bill/NSP 4,333.00 8,200.00
03-12-2013 NET BANKING BIL/000516237968/NchgRs2.50STRs0.31 1,002.81 7,197.19
05-12-2013 TRFR FROM:SALARY FOR NOVEMBER 29,267.00 36,464.19
06-12-2013 ICICI ATM ATM/CASH WDL/29-12-13/18:53:07/0 20,000.00 16,464.19
09-12-2013 NEFT-SBIN113333815125-MR NAGA RAJU
4,000.00
20,464.19 NANDAMURI
10-12-2013 NET BANKING BIL/000517699070/rajasekhar/Raju/NSP 10,000.00 30,464.19
12-12-2013 NET BANKING BIL/000517709031/for shreya-babu/NSP 21,000.00 9,464.19
14-12-2013 ICICI ATM ATM/CASH WDL/14-12-13/16:37:26/0 3,000.00 6,464.19
16-12-2013 ICICI ATM ATM/CASH WDL/16-12-13/19:57:12/0 4,000.00 2,464.19
18-12-2013 NET BANKING BIL/000520395823/Raju/NSP 500.00 1,964.19
20-12-2013 DEBIT CARD IPS/KFC HSR Lay/20140120124619/0 637.00 1,327.19
20-12-2013 DEBIT CARD IPS/KFC HSR Lay/20131220130659/0 236.00 1,091.19
21-12-2013 DEBIT CARD VPS/MC DONALDS,/20131221153531/0 190.00 901.19
22-12-2013 OTHER ATMR NFS/CASH WDL/22-12-13 500.00 401.19
Page 2 of 5 MR. TIRUMALESWARA RAO J DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE
24-12-2013 NEFT-LB2050131209B847-MR RAMESH
20,900.00
21,301.19 POTLAPUVVU
26-12-2013 ICICI ATM ATM/CASH WDL/26-12-13/15:14:31/0 3,000.00 18,301.19
27-12-2013 ICICI ATM ATM/CASH WDL/27-12-13/09:42:14/0 3,500.00 14,801.19
29-12-2013 ICICI ATM ATM/CASH WDL/29-12-13/18:16:51/0 12,000.00 2,801.19
30-12-2013 OTHER ATMR NFS/CASH WDL/30-12-13 500.00 2,301.19
01-01-2014 BY CASH – SR NAGAR 4,000.00 6,301.19
05-01-2014 TRFR FROM:SALARY FOR DECEMBER 29,267.00 35,568.19
06-01-2014 NET BANKING BIL/000523034840/From Raju/NSP 16,000.00 19,568.19
08-01-2014 DEBIT CARD VPS/NANDHINI RESTRAUNT/20140108215611/0 822.00 18,746.19
13-01-2014 NET BANKING BIL/000523956288/NchgRs2.50STRs0.31 10,002.81 8,743.38
18-01-2014 NET BANKING BIL/000525810950/2000/NSP 1,800.00 10,543.38
19-01-2014 NEFT-AXIR133533047649-ROJA K 2,000.00 12,543.38
20-01-2014 NET BANKING BIL/000526510310/NchgRs2.50STRs0.31 1,502.81 11,040.57
20-01-2014 DEBIT CARD VPS/NANDAS /20140120145649/0 351.00 10,689.57
20-01-2014 DEBIT CARD VPS/NANDHINI RESTRAUNT/20140120230355/0 300.00 10,389.57
24-01-2014 NET BANKING BIL/000527931086/Dhoom-3
344.94 10,044.63 tickets/BOOKMYSHOW_MICI
26-01-2014 NEFT-KKBKH13360724177-TRIPURANA GOUTHAM 8,000.00 18,044.63
27-01-2014 OTHER ATMR NFS/CASH WDL/27-01-14 10,000.00 8,044.63
27-01-2014 NET BANKING BIL/000528932008/Raju/NSP 3,000.00 11,044.63
27-01-2014 NEFT-CITIN13388532097-RAGHAVENDAR RAO
10,000.00
21,044.63 JOSHI
28-01-2014 DEBIT CARD VPS/QUBE BAR/20140128220558/0 875.00 20,169.63
30-01-2014 035701523056:Int.Pd:01-09-2013 to 29-01-2014 101.00 20,270.63
30-01-2014 NET BANKING BIL/000529917010/from Raju/NSP 6,000.00 14,270.63
30-01-2014 ICICI ATM ATM/CASH WDL/30-01-14/14:28:04/0 500.00 13,770.63
01-02-2014 DEBIT CARD IPS/TODAY FASHI/20140201110224/0 550.00 13,220.63
01-02-2014 DEBIT CARD VPS/ADYAR ANAND/20140201180252/0 380.00 12,840.63
02-02-2014 ICICI ATM ATM/CASH WDL/02-02-14/16:11:46/1 500.00 12,340.63
02-02-2014 NET BANKING BIL/000532150140/BALU2RAJU/NSP 8,000.00 20,340.63
03-02-2014 NET BANKING BIL/000532500773/from Raju/NSP 8,000.00 12,340.63
03-02-2014 NET BANKING BIL/000532502695/from Raju/NSP 500.00 11,840.63
03-02-2014 NET BANKING BIL/000532666880/from Raju/NSP 9,000.00 2,840.63
04-02-2014 CHEQUE 109303 PRIME ADVERTISING 1,000.00 1,840.63
06-02-2014 NET BANKING BIL/000533658193/NchgRs2.50STRs0.31 27.81 1,812.82
06-02-2014 TRFR FROM:SALARY FOR JANUARY 29,267.00 31,079.82
06-02-2014 NET BANKING BIL/000533954366/Pyn2Raju/NSP 4,000.00 35,079.82
06-02-2014 ICICI ATM ATM/CASH WDL/06-02-14/18:00:58/0 15,000.00 20,079.82
06-02-2014 ICICI ATM ATM/CASH WDL/06-02-14/18:01:44/0 10,000.00 10,079.82
06-02-2014 NET BANKING BIL/000534120081/LAKSHMI2RAJU/NSP 4,000.00 14,079.82
07-02-2014 CASH DEPOSIT CAM/CASH DEPOSIT/07-02-14/13:27:35/0 5,000.00 19,079.82
07-02-2014 NET BANKING BIL/000534551022/rajasekhar/NSP 5,000.00 24,079.82
07-02-2014 NET BANKING BIL/000534553415/Raju/NSP 10,000.00 14,079.82
08-02-2014 ICICI ATM ATM/CASH WDL/08-02-14/16:16:10/0 8,000.00 8,079.82
08-02-2014 ICICI ATM ATM/CASH WDL/08-02-14/16:17:27/0 5,000.00 3,079.82
09-02-2014 NET BANKING BIL/000535443581/Pyn2Raju/NSP 15,000.00 18,079.82
09-02-2014 NEFT-IOBAN14009036434-YERUVA KARTHIK
1,000.00
19,079.82 REDDY
09-02-2014 ICICI ATM ATM/CASH WDL/09-02-14/16:41:40/0 10,000.00 9,079.82
09-02-2014 CASH DEPOSIT CAM/CASH DEPOSIT/09-02-14/16:44:12/0 2,000.00 11,079.82
09-02-2014 NET BANKING BIL/000535531473/Raju/NSP 5,000.00 16,079.82
10-02-2014 OTHER ATMR NFS/CASH WDL/10-02-14 1,000.00 17,079.82
11-02-2014 NET BANKING BIL/000536262684/Raju/NSP 1,000.00 18,079.82
13-02-2014 OTHER ATMR NFS/CASH WDL/13-02-14 1,000.00 17,079.82
13-02-2014 OTHER ATMR NFS/CASH WDL/13-02-14 3,000.00 14,079.82
Page 3 of 5 MR. TIRUMALESWARA RAO J DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE
13-02-2014 OTHER ATMR NFS/CASH WDL/13-02-14 1,000.00 13,079.82
13-02-2014 OTHER ATMR NFS/CASH WDL/13-02-14 10,000.00 3,079.82
13-02-2014 ICICI ATM ATM/CASH WDL/13-02-14/16:53:21/0 3,000.00 79.82
14-02-2014 NET BANKING BIL/000537316540/Raju/NSP 5,000.00 5,079.82
20-02-2014 NET BANKING BIL/000539169413/BALU2RAJU/NSP 3,000.00 8,079.82
20-02-2014 NET BANKING BIL/000539269227/from Raju/NSP 8,000.00 79.82
23-02-2014 NEFT-SBIN214023528654-MR NAGA RAJU
20,000.00
20,079.82 NANDAMURI
24-02-2014 CASH DEPOSIT CAM/CASH DEPOSIT/24-02-14/12:47:23/0 7,500.00 27,579.82
25-02-2014 NET BANKING BIL/000543321398/ForRaju/NSP 1,500.00 29,079.82
03-03-2014 NEFT-N033140004271029-KONAGALLA S- 3,000.00 32,079.82
03-03-2014 NEFT-N034140004368190-0501001611305455- 5,000.00 37,079.82
04-03-2014 NET BANKING BIL/000545922965/credit card
37,000.00 79.82 payment/HDFCCARD_MICI
05-03-2014 TRFR FROM:SALARY FOR FEBRUARY 29,267.00 29,346.82
06-03-2014 CASH DEPOSIT CAM/CASH DEPOSIT/06-03-14/13:43:05/0 7,000.00 36,346.82
06-03-2014 OTHER ATMR NFS/CASH WDL/06-03-14 5,000.00 31,346.82
10-03-2014 DEBIT CARD VPS/TOTAL SUPER/20140309192622/0 1,780.00 29,566.82
10-03-2014 OTHER ATMR NFS/CASH WDL/09-03-14 10,000.00 19,566.82
10-03-2014 NET BANKING BIL/000548914889/Raju/arshad/NSP 2,000.00 17,566.82
11-03-2014 NET BANKING BIL/000549320062/from Raju/NSP 10,000.00 7,566.82
12-03-2014 NET BANKING BIL/000549890025/Raju/NSP 10,000.00 17,566.82
12-03-2014 ATMDEC CHG/13-02-14/0834/25ST3 28.09 17,538.73
13-03-2014 NET BANKING BIL/000550346713/from Raju sekhar/NSP 10,000.00 7,538.73
17-03-2014 By Cash 1,000.00 8,538.73
17-03-2014 CASH DEPOSIT CAM/CASH DEPOSIT/17-03-14/12:59:37/0 4,500.00 13,038.73
17-03-2014 NET BANKING BIL/000551655017/Raju/NSP 2,000.00 15,038.73
17-03-2014 NET BANKING BIL/000551657200/NchgRs2.50STRs0.31 1,002.81 14,035.92
17-03-2014 BY CASH - SR NAGAR 10,000.00 24,035.92
18-03-2014 NET BANKING BIL/000552022953/NchgRs15.00STRs1.85 10,016.85 14,019.07
19-03-2014 OTHER ATMR NFS/CASH WDL/19-03-14 500.00 13,519.07
19-03-2014 NET BANKING BIL/000552638726/for party/NSP 2,800.00 16,319.07
21-03-2014 NET BANKING BIL/000553269784/money transfer/NSP 6,000.00 22,319.07
21-03-2014 NET BANKING BIL/000553378282/for anand/NSP 21,000.00 43,319.07
21-03-2014 ICICI ATM ATM/CASH WDL/21-03-14/16:21:54/0 10,000.00 33,319.07
21-03-2014 ICICI ATM ATM/CASH WDL/21-03-14/16:23:06/0 10,000.00 23,319.07
21-03-2014 ICICI ATM ATM/CASH WDL/21-03-14/16:24:26/0 1,000.00 22,319.07
22-03-2014 NET BANKING BIL/000553665748/sravan/308473626_SCWWE 100.00 22,219.07
22-03-2014 BY CASH - SR NAGAR 50,000.00 72,219.07
22-03-2014 NET BANKING BIL/000553756729/paytm/308567353_SCWWE 100.00 72,119.07
22-03-2014 NET BANKING BIL/000553759956/from satty/NSP 37,500.00 1,09,619.07
24-03-2014 NET BANKING BIL/000554369548/NchgRs2.50STRs0.31 5,002.81 1,04,616.26
24-03-2014 OTHER ATMR NFS/CASH WDL/24-03-14 1,500.00 1,03,116.26
25-03-2014 CHEQUE 109302 SJR PRIME CORPORATION PV TLT D 1,00,000.00 3,116.26
25-03-2014 NET BANKING BIL/000554763629/Raju/NSP 11,000.00 14,116.26
25-03-2014 ICICI ATM ATM/CASH WDL/25-03-14/13:47:43/0 1,000.00 13,116.26
27-03-2014 NET BANKING BIL/000555504183/ARC/NSP 13,500.00 26,616.26
28-03-2014 OTHER ATMR NFS/CASH WDL/28-03-14 500.00 26,116.26
01-04-2014 NET BANKING BIL/000556639018/harikishore/NSP 1,500.00 24,616.26
01-04-2014 CHEQUE 109304 ARC INDIA PVT LTD 13,488.00 11,128.26
01-04-2014 NET BANKING BIL/000556871099/harikishore/NSP 1,500.00 9,628.26
03-04-2014 By Cash 1,000.00 10,628.26
04-04-2014 TRFR FROM:SALARY FOR MARCH 29,267.00 39,895.26
05-04-2014 NET BANKING BIL/000558452674/Raju/NSP 6,000.00 33,895.26
05-04-2014 NET BANKING BIL/000559256394/NchgRs5.00STRs0.62 12,373.62 21,522.64
06-04-2014 ICICI ATM ATM/CASH WDL/06-04-14/13:03:35/0 4,000.00 17,522.64
Page 4 of 5 MR. TIRUMALESWARA RAO J DATE MODE** PARTICULARS DEPOSITS WITHDRAWALS BALANCE
07-04-2014 NET BANKING BIL/000560238309/from Raju/NSP 1,000.00 16,522.64
07-04-2014 NET BANKING VIN/Play Games /20140407160853/0 100.00 16,422.64
07-04-2014 DEBIT CARD VPS/HOUSE OF SP/20140407212348/0 530.00 15,892.64
08-04-2014 ICICI ATM ATM/CASH WDL/08-04-14/12:10:02/0 1,600.00 14,292.64
08-04-2014 ICICI ATM ATM/XFR DR/08-04-14/12:13:57/0 14,000.00 292.64
08-04-2014 NET BANKING VIN/Play Games /20140408140429/0 50.00 242.64
08-04-2014 NET BANKING BIL/000560840992/Raju/NSP 10,000.00 10,242.64
08-04-2014 NET BANKING BIL/000560849452/Raju/NSP 5,100.00 15,342.64
08-04-2014 NET BANKING BIL/000560851128/Bharat/NSP 15,000.00 30,342.64
10-04-2014 NET BANKING BIL/000561280047/NchgRs5.00STRs0.62 30,205.62 137.02
10-04-2014 NET BANKING BIL/000561415202/vaMRi/314269824_PAYTM 20.00 117.02
10-04-2014 NET BANKING VIN/Play Games /20140410121404/0 100.00 17.02
10-04-2014 NET BANKING BIL/000561468875/Raju/NSP 700.00 717.02
10-04-2014 NEFT-LB2050140310C690-MR RAMESH
5,000.00
5,717.02 POTLAPUVVU-/ACC/Tr
11-04-2014 NET BANKING BIL/000561934122/five thousand rupees/NSP 5,000.00 10,717.02
11-04-2014 CASH DEPOSIT CAM/CASH DEPOSIT/11-04-14/12:31:45/0 11,000.00 21,717.02
12-04-2014 CASH DEPOSIT CAM/CASH DEPOSIT/12-04-14/12:31:29/0 9,500.00 31,217.02
12-04-2014 NET BANKING BIL/000562561019/NchgRs5.00STRs0.62 15,005.62 16,211.40
12-04-2014 NET BANKING BIL/000562703226/goibibo/83753421_GOIBIB 750.00 15,461.40
13-04-2014 CASH DEPOSIT CAM/CASH DEPOSIT/13-04-14/10:32:54/0 13,000.00 28,461.40
13-04-2014 NET BANKING BIL/000562909558/ fromraju/NSP 5,000.00 33,461.40
13-04-2014 NET BANKING BIL/000562912990/for guesthouse/NSP 6,000.00 39,461.40
13-04-2014 NET BANKING BIL/000562949958/NchgRs2.50STRs0.31 3,002.81 36,458.59
13-04-2014 NET BANKING BIL/000562989879/chit/NSP 5,000.00 41,458.59
13-04-2014 NET BANKING VIN/Play Games /20140413172736/0 50.00 41,408.59
14-04-2014 OTHER ATMR NFS/CASH WDL/14-04-14 10,000.00 31,408.59
14-04-2014 OTHER ATMR NFS/CASH WDL/14-04-14 10,000.00 21,408.59
14-04-2014 OTHER ATMR NFS/CASH WDL/14-04-14 10,000.00 11,408.59
14-04-2014 OTHER ATMR NFS/CASH WDL/14-04-14 7,400.00 4,008.59
17-04-2014 NET BANKING BIL/000564532041/sekhar/Raju/NSP 5,000.00 9,008.59
18-04-2014 NET BANKING BIL/000564818690/NchgRs2.50STRs0.31 502.81 8,505.78
18-04-2014 NET BANKING BIL/000565031884/sathish amount/NSP 4,000.00 4,505.78
18-04-2014 ICICI ATM ATM/CASH WDL/18-04-14/18:23:41/0 4,500.00 5.78
20-04-2014 NET BANKING BIL/000565574753/Form16/NSP 4,000.00 4,005.78
20-04-2014 NET BANKING BIL/000565804167/NchgRs2.50STRs0.31 702.81 3,302.97
20-04-2014 ICICI ATM ATM/CASH WDL/20-04-14/18:05:17/0 3,000.00 302.97
22-04-2014 NET BANKING BIL/000566536439/Raju/NSP 8,000.00 8,302.97
22-04-2014 NET BANKING BIL/000566596854/for bharath/NSP 10,000.00 18,302.97
22-04-2014 NET BANKING BIL/000566599734/for bharath/NSP 10,000.00 8,302.97
24-04-2014 NET BANKING BIL/000567182620/Credit card
7,550.00 752.97 Bill/437551179406600
24-04-2014 CASH DEPOSIT CAM/CASH DEPOSIT/24-04-14/12:32:22/0 27,000.00 27,752.97
24-04-2014 NET BANKING BIL/000567247542/diwakar/NSP 19,500.00 8,252.97
25-04-2014 NET BANKING BIL/000567732607/Raju/NSP 6,000.00 2,252.97
27-04-2014 CASH DEPOSIT CAM/CASH DEPOSIT/27-04-14/10:26:51/0 10,000.00 12,252.97
28-04-2014 NET BANKING BIL/000569189199/recharge/FREECHARGE_MICI 30.00 12,222.97
29-04-2014 To:0069CNANWCHG,0069SL00STAX 169.00 12,053.97
30-04-2014 MOBILE BANKING MMT/Ref409011294197/*****12535 9,000.00 21,053.97
30-04-2014 NET BANKING BIL/000570372481/NchgRs5.00STRs0.62 10,015.62 11,038.35
TOTAL 7,15,437.30 7,32,398.65 11,038.35
Page 5 of 5 MR. TIRUMALESWARA RAO J Account Related Other Information ACCOUNT TYPE ACCOUNT NUMBER MICR CODE IFSC CODE NAME OF NOMINEE Savings 111501501449 500229043 ICIC0001115 - Nominee name is displayed only on specific consent of customer. 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 Customer then tax shall be deducted at the prevailing rate or 20%, whichever is higher. •As per guidelines issued by CBDT on May 13, 2011, Form 16A (TDS Certificates) will be generated through the Income tax website for which the PAN of the customer needs to be necessarily updated in Bank's record.
•In absence of valid PAN, Form 15G / 15H shall not be treated as valid and tax will be deducted. •In case your PAN is not updated in our record, please visit the nearest branch and provide a copy of the PAN card along with the original PAN card for verification. •The address of the customer in Form 16A will be the last updated address in the data base of the 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.
