[Link].
in
American Express Banking
Statement of Account Corp.
Cyber City, Tower C
DLF Bldg No. 8, Sector - 25
Gurgaon - 122002
For any queries, please call us
on: +91-124-673-6600
Page 1 of 5 (Toll Free): 1800 419 1120
Prepared for Membership Number Date
GAUTAM JAIN XXXX-XXXXXX-01004 11/11/2023
240460862402
Previous Balance Rs New Credits Rs New Debits Rs Closing Balance Rs Amount Payable Rs
24,430.00 - 91,353.00 + 84,792.00 = 17,869.00 17,869.00
Please pay by
Statement includes payments and charges received by November 11, 2023
November 29, 2023
Thank you for using the American Express Card. We would appreciate receiving your payment of Rs. 17,869.00 by
29/11/2023.
Details Foreign Spending Amount Rs
October 29 PAYMENT RECEIVED. THANK YOU 10,560.00
Card Number XXXX-XXXXXX-01004 CR
October 29 PAYMENT RECEIVED. THANK YOU 2.00
Card Number XXXX-XXXXXX-01004 CR
October 29 PAYMENT RECEIVED. THANK YOU 1.00
Card Number XXXX-XXXXXX-01004 CR
New domestic transactions for GAUTAM JAIN
Card Number XXXX-XXXXXX-01004
October 12 Billdesk*AMAZON MUM 13,870.00
October 14 Amazon = Test Mumbai 7,920.00
October 20 Billdesk*AMAZON MUM 59,000.00
October 27 Billdesk*AMAZON MUM 700.00
CR
October 27 Billdesk*AMAZON MUM 2,499.00
CR
October 27 Billdesk*AMAZON MUM 699.00
CR
Incorporated with Limited Liability in USA
® Registered Trademark of American Express Company
......
Payment Advice
Make a crossed cheque payable to "AEBC Card # Please pay by 29/11/2023
<enter your 15-digit Card number beginning with 37 or Amount due in Rs
34>."
17,869.00
GAUTAM JAIN
Ë7oÌ
264-265,VASWANI CHAMBERS Mail payment to:
INDIE RADIATION
DR ANNIE BESANT ROAD WORLI AMERICAN EXPRESS BANKING CORP.
MUMBAI MH 400030 CYBER CITY, TOWER C, DLF BLDG NO.8
SECTOR-25, DLF CITY PH II
GURGAON - 122002
Incorporated with limited liability in the USA
Statement of Account
.
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GAUTAM JAIN XXXX-XXXXXX-01004 11/11/2023
Details Foreign Spending Amount Rs
October 27 Billdesk*AMAZON MUM 2,500.00
CR
October 27 Billdesk*AMAZON MUM 2,499.00
CR
October 27 Billdesk*AMAZON MUM 249.00
CR
October 27 Billdesk*AMAZON MUM 1,700.00
CR
October 27 Billdesk*AMAZON MUM 325.00
CR
October 27 Billdesk*AMAZON MUM 2,699.00
CR
October 29 PayU*Cred Mumbai Suburban 2.00
October 31 Billdesk*AMAZON MUM 59,000.00
CR
November 2 Amazon = Test Mumbai 7,920.00
CR
November 2 VOUCHER PLATFORM - REWA NEW DELHI 1,000.00
November 2 VOUCHER PLATFORM - REWA NEW DELHI 1,000.00
November 2 VOUCHER PLATFORM - REWA NEW DELHI 1,000.00
November 2 VOUCHER PLATFORM - REWA NEW DELHI 1,000.00
Total of new transactions for GAUTAM JAIN 4,002.00
Payment Information - Payment for the minimum due must be Drop Boxes - For locations, please visit [Link].
received, in Indian Rupees, by the due date. UPI (Unified Payment Interface) - American Express UPI VPA is
Payment Methods - You can pay by any of these convenient methods. AEBC3XXXXXXXXXXXXXX@SC (please ensure to include your
National Electronic Funds Transfer (NEFT) complete 15-digit Card number beginning with 37 or 34).
The NEFT details are as follows: Direct Debit - You may also enroll for direct debit each month from
Payee Name - American Express your Bank account and credit the Card Account with the total amount
Payee Account No - 3XXXXXXXXXXXXXX (please ensure to include due in the monthly statement through the National Automated
your complete 15-digit Card number beginning with 37 or 34). Clearing House(NACH) introduced by the Reserve Bank of India (RBI).
IFSC Code - SCBL0036020 Mailing Preference - If you do not wish to be contacted for
Name of Bank & Branch - Standard Chartered Bank; Narain Manzil, promotional or marketing offers, or wish to change the address or
23 Barakhamba Road, New Delhi 110001 phone number on your account, please call us at the numbers
Payee Account Type - Current mentioned on the back of your Card.
Online - Pay your Card bill, online anywhere anytime in three simple Foreign Exchange Currency Charges The total amount of Foreign
steps. Just log on to [Link]. Click on 'Pay your bill Currency charges shown include the Currency Conversion Factor
now'. Then fill in your Card details and the bank account from which Assessment of 3.5% plus applicable GST.
you would like to make the payment. Permanent Account Number (PAN) - AAGCA9055N
We also accept payments through following electronic modes: GSTIN - 06AAGCA9055N1Z8
(i) Debit Card powered by RuPay; Category: Credit-granting services including stand-by commitment,
(ii) UPI/BHIM-UPI Quick Response Code (QR Code) guarantees & securities (SAC - 997113). Due to system limitation,
Important note : In case you are making a payment via Standard GST/IGST is being charged at consolidated amount @18%. Where the
Chartered Online Banking, the IFSC code is not required. You may place of supply is in Haryana GST comprises of Central Goods and
select the option 'Transfer to another SCB bank account' to process Services Tax (CGST) @9% + Haryana State Goods and Services Tax
the payment. Simply initiate your funds transfer before 5:00 pm for (SGST) @9%; where the place of supply is outside of Haryana GST
next day credit to your American Express Card excluding Sunday and comprises of Integrated Goods and Services Tax (IGST) @18%.
banking holidays. Also please make sure to put in the correct Card We are here to help - For any additional information or assistance,
number to avoid a transaction failure. please call our helpline number updated on [Link]
Statement of Account
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GAUTAM JAIN XXXX-XXXXXX-01004 11/11/2023
CardMember Offers and Information
Charges in case of default/ Delinquency Fee (on overdue account balance)
A Delinquency Fee is levied if American Express does not receive full payment of the Amount Due (as shown on the monthly
statement) by the Due Date. The Delinquency Fee will be levied at the rate of 5% on the unpaid balance (with a minimum
monthly Delinquency Fee being Rs. 300), in the next monthly billing statement until the payment is received in full.
Calculation Methodology will be as follows:
LPF amount = 5%* (Last Statement Outstanding- Fees & Taxes- Credits till next statement)
Sample Illustration: A Cardmember has a total amount due of Rs. 20,000 payable by the Due Date. If the Cardmember does
not pay this full amount by the Due Date and has made a partial payment of Rs. 10,000 prior to next billing statement, the
Delinquency Fee that will appear in the next month's bill statement will be calculated as: 5%* of (Rs. 20,000-Rs. 10000) =
5%*Rs. 10,000 = Rs. 500. Thus, the Cardmember would be charged Rs. 500 + applicable tax, which is the Delinquency Fee
payable.
Annual Fee
Standard Annual Fee*: First Year Rs. 1,000+taxes; Second Year Onwards: Rs. 4,500+taxes
Standard Add-on Card Annual Fee (Where Applicable) **: Rs. 1,500+taxes
*Annual Fee reductions may be offered by American Express Banking Corp. ("American Express") at its sole discretion.
**Up to 2 Complimentary Supplementary Cards
Grievances Redressal Escalation:
In the event that you are not satisfied with our services, you may register your grievance to:
First Level Escalation:
Manager - Executive Correspondence Unit
American Express Banking Corp.
Cyber City, Tower C, DLF Bldg No.8
Sector 25, DLF City Ph II
Gurgaon – 122002 (Haryana)
Telephone No. 0124-3362172 (Monday to Friday 8:30 to 5:00 pm) / E-mail: Manager-Customerservicesindia@[Link]
For further escalation of grievances, the same can be addressed to:
Ms. Priyameet Kaur
Head of Customer Service
American Express Banking Corp.
Cyber City, Tower C, DLF Bldg No.8
Sector 25, DLF City Ph II
Gurgaon – 122002 (Haryana)
Telephone No. 0124-3362044
(Monday to Friday 8:30 to 5:00 pm)
Email: Head-Customerservicesindia@[Link]
Nodal Officer
Name: Mr. Ashish Pandey
E-mail ID: AEBCNodalOfficer@[Link]
Telephone no: 0124-4190044
(Monday to Friday 8:30 to 5:00 pm)
Address: American Express Banking Corp.
Cyber City, Tower "C", DLF Bldg. No.8, Sector - 25, DLF City Phase - II,
Gurgaon - 122002 (Haryana)
Banking Ombudsman Scheme
Statement of Account
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GAUTAM JAIN XXXX-XXXXXX-01004 11/11/2023
If you are not satisfied with redressal of the complaint provided by Bank or if you have not received a response from Bank
within one month i.e., 30 days of logging a complaint with us, you may approach the Office of Banking Ombudsman for
Grievance Redressal. The complaint can be made to the Office of Banking Ombudsman with the complete transaction and
other requisite details. (The 30-day period will be reckoned after all the necessary information sought from the customer is
received) Click here for salient features / details on the Integrated Banking Ombudsman Scheme.
Integrated Banking Ombudsman Contact Details
Link to log a complaint: [Link]
E-mail ID: crpc@[Link]
Address: Centralised receipt and Processing Center (CRPC), Reserve Bank of India, 4th Floor, Sector 17, Chandigarh 160017
Toll Free Number: 14448 (9:30 am to 5:15 pm)
Payment FAQ Information:
Payments to the Card account can only be made from a bank account in the primary Card Member's name. Please refer to
Payments FAQs at service ([Link]
for more details.
Please Note: Printed copies of the Most Important Terms and Conditions and the Cardmember Agreement will no longer be
sent along with monthly statements or card welcome, replacement, renewal pack(s). You can view & download these
documents from the official webpage [Link]/mitc or call on the number on the back of the card post
approval, to request for hard copies of the same.
We have made changes to para d - "Recovery procedure in case of default/account overdue" of the MITC. The revised terms
and conditions under this para reference usage of WhatsApp for servicing.
Missing Payments may affect your Credit Rating
Please note that in accordance with Reserve Bank of India (RBI) guidelines, we are required to regularly report your Card
account status and balance to Credit Information Companies authorized by RBI as per CICRA, 2005. Hence, making payments
by the date specified on your monthly billing statement will keep your account in good standing. Payments made after that
date may negatively impact your credit information with the Credit Information Companies.
Procedure to be followed in case of loss/theft/misuse of Card–mode of intimation to Card issuer:
The Cardmember must notify American Express immediately if the Credit Card is lost, stolen, mutilated, not received when
due or if he suspects that the Credit Card is being used without his permission. Cardmembers can call the 24-hour Helpline
phone numbers to inform about this loss or theft. In the case of loss or theft of the Card, the Cardmember must file
immediately a First Information Report (FIR) with the police station nearest to the place of occurrence and file a detailed
report with American Express enclosing a copy of the FIR. If the lost Credit Card is subsequently received, it must not be used.
The Replacement Credit Card and subsequent renewals of it must be used instead. The retrieval of the original Credit Card
must immediately be reported to American Express, and it must be cut in half and the pieces returned to American Express.
Insurance Cover on your Card
S. No Coverages Sum Insured (INR)
Primary
1 Death due to Air Accident (when ticket is booked on Amex Card) 30,00,000
Disclaimer
MITC
1 Insurance Benefits are provided by ICICI Lombard General Insurance Co. Ltd. and the Cardmember is requested to settle
insurance claims with ICICI Lombard General Insurance Co. Ltd. directly. The Cardmembers can register for Overseas
Medical Insurance by contacting ICICI Lombard GIC Ltd by sending SMS OMI to 575758 or email at
delhitravel@[Link].
Statement of Account
Page 5 of 5
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GAUTAM JAIN XXXX-XXXXXX-01004 11/11/2023
2 Please refer to the Welcome Pack for Nomination Form. It is the responsibility of the Cardmember to file with the insurance
company the duly filled nomination form as applicable. The nomination form is provided along with the welcome pack.
Please call us in case you require a copy of the insurance form.
Date of Activation of Policy
1 On enrolment, Cardmember becomes automatically eligible for the Insurance benefits, subject to timely payment of Annual
Fee. These benefits remain as long as the Card Account remains live and in good standing.
NAC Terms and conditions General Conditions:
1 Gross Negligence is not covered
2 Any claim due to deliberate breach of law would not be payable
Death due Air Accident (when ticket is booked on Amex Card)
1 Pilots, armed forces, police, air crew are not covered
2 In the event of rail accidental death, the claim would be payable only if the same is reported to the call center within 90 days
from the date of accidental death
Contact Details 18001025721
Email address ihealthcare@[Link]
ICICI Lombard address ICICI Lombard House, 414, Veer Savarkar Marg, Near Siddhi Vinayak
Temple, Prabhadevi, Mumbai - 400025.
ICICI Lombard SPOC details Mr. Vishal Mehta ([Link]@[Link])
Amex SPOC details Mr. Sangeeth Nair (Insuranceservices@[Link])
