Customer Name Card Account No

MR AYUSH KUMAR 4035 XXXX XXXX 4003

HARJAI COMPUTER
6TH FLOOR G GRUOP
KASARVADAVLI GHODBUNDER ROAD
KASARVADAVLI
THANE 400615

Statement Period

01/04/2023 TO 31/03/2024

TRANSACTION DETAILS
Card Number : 4035 XXXX XXXX 4003
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
21-MAY-23 74056633142013781730369 BURGER KING LAKE CITY THANE IN 0.00 358.91

21-MAY-23 74332743142314146675155 HENNES N MAURITZ MUMBAI IN 0.00 799.00

21-MAY-23 74585193142045520340618 Reliance Retail Ltd THANE IN 0.00 999.00

28-MAY-23 74766513148321496011358 KFC 2- LEVEL 3 MUMBAI IN 0.00 935.00

28-MAY-23 74332743149314867063691 GOURMET BAKLAVA MUMBAI IN 0.00 4,400.00

29-MAY-23 74056633150314944785004 AMAZON PAY INDIA PRIVATET 0.00 18,658.50

BANGALORE IN

31-MAY-23 SGST-CI@9% 0.00 20.98

31-MAY-23 CGST-CI@9% 0.00 20.98

31-MAY-23 Interest Amount Amortization - <1/9> 0.00 233.08

31-MAY-23 CGST-CI@9% 0.00 17.91

31-MAY-23 Processing Fee 199 : 0% 0.00 199.00

31-MAY-23 INSTANT EMI OFFUS CONVERSION 0.00 0.00

31-MAY-23 Principal Amount Amortization - <1/9> 0.00 1,971.72

31-MAY-23 SGST-CI@9% 0.00 17.91

31-MAY-23 AMAZON PAY INDIA PRIVATET 0.00 -18,658.50

BANGALORE IN

01-JUN-23 SGST-CI@9% 0.00 7.92

01-JUN-23 Principal Amount Amortization - 0.00 706.31

<1/6>GOURMET BAKLAVA

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
[Link]/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/[Link] are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4035 XXXX XXXX 4003
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
01-JUN-23 CGST-CI@9% 0.00 5.94

01-JUN-23 SGST-CI@9% 0.00 5.94

01-JUN-23 Interest Amount Amortization - 0.00 66.00

<1/6>GOURMET BAKLAVA

01-JUN-23 CGST-CI@9% 0.00 7.92

01-JUN-23 GOURMET BAKLAVA MUMBAI IN 0.00 -4,400.00

01-JUN-23 GOURMET BAKLAVA MUMBAI IN 0.00 88.00

01-JUN-23 230673232718 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -6,461.52

14-JUN-23 74332743166316539981307 SHOPPERS STOP LTD RANCHI IN 0.00 1,049.30

30-JUN-23 CGST-CI@9% 0.00 18.76

30-JUN-23 SGST-CI@9% 0.00 18.76

30-JUN-23 Interest Amount Amortization - <2/9> 0.00 208.45

30-JUN-23 Principal Amount Amortization - <2/9> 0.00 1,996.35

01-JUL-23 Interest Amount Amortization - 0.00 55.41

<2/6>GOURMET BAKLAVA

01-JUL-23 Principal Amount Amortization - 0.00 716.90

<2/6>GOURMET BAKLAVA

01-JUL-23 230687500086 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -3,291.62

02-JUL-23 SGST-CI@9% 0.00 4.99

02-JUL-23 CGST-CI@9% 0.00 4.99

10-JUL-23 230692654578 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -1,049.30

10-JUL-23 230692654923 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -267.01

31-JUL-23 Principal Amount Amortization - <3/9> 0.00 2,021.29

31-JUL-23 Interest Amount Amortization - <3/9> 0.00 183.51

31-JUL-23 SGST-CI@9% 0.00 16.52

31-JUL-23 CGST-CI@9% 0.00 16.52

01-AUG-23 Interest Amount Amortization - 0.00 44.65

<3/6>GOURMET BAKLAVA

01-AUG-23 Principal Amount Amortization - 0.00 727.66

<3/6>GOURMET BAKLAVA

01-AUG-23 CGST-CI@9% 0.00 4.02

01-AUG-23 SGST-CI@9% 0.00 4.02

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
[Link]/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/[Link] are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4035 XXXX XXXX 4003
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
01-AUG-23 230703050915 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -1,703.82

03-AUG-23 230703904967 INFINITY PAYMENT RECEIVED, THANK YOU 0.00 -780.35

17-AUG-23 74332743230322960105228 MC DONALDS THANE IN 0.00 551.99

31-AUG-23 Principal Amount Amortization - <4/9> 0.00 2,046.54

31-AUG-23 CGST-CI@9% 0.00 14.24

31-AUG-23 SGST-CI@9% 0.00 14.24

31-AUG-23 Interest Amount Amortization - <4/9> 0.00 158.26

01-SEP-23 Principal Amount Amortization - 0.00 738.57

<4/6>GOURMET BAKLAVA

01-SEP-23 SGST-CI@9% 0.00 3.04

01-SEP-23 CGST-CI@9% 0.00 3.04

01-SEP-23 Interest Amount Amortization - 0.00 33.74

<4/6>GOURMET BAKLAVA

01-SEP-23 324496643671 UPI Payment Received 0.00 -551.99

01-SEP-23 400301092023S90681922 NEFT PAYMENT RECEIVED 0.00 -1.00

04-SEP-23 324706187214 UPI Payment Received 0.00 -3,010.67

30-SEP-23 Interest Amount Amortization - <5/9> 0.00 132.69

30-SEP-23 Principal Amount Amortization - <5/9> 0.00 2,072.11

01-OCT-23 SGST-CI@9% 0.00 11.94

01-OCT-23 CGST-CI@9% 0.00 11.94

01-OCT-23 Interest Amount Amortization - 0.00 22.66

<5/6>GOURMET BAKLAVA

01-OCT-23 SGST-CI@9% 0.00 2.04

01-OCT-23 CGST-CI@9% 0.00 2.04

01-OCT-23 Principal Amount Amortization - 0.00 749.65

<5/6>GOURMET BAKLAVA

02-OCT-23 327592534160 UPI Payment Received 0.00 -3,006.07

20-OCT-23 74332743294329351841348 RELIANCE SMART THANE IN 0.00 640.05

31-OCT-23 CGST-CI@9% 0.00 9.61

31-OCT-23 Interest Amount Amortization - <6/9> 0.00 106.81

31-OCT-23 SGST-CI@9% 0.00 9.61

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
[Link]/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/[Link] are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4035 XXXX XXXX 4003
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
31-OCT-23 Principal Amount Amortization - <6/9> 0.00 2,097.99

01-NOV-23 Interest Amount Amortization - 0.00 11.41

<6/6>GOURMET BAKLAVA

01-NOV-23 Principal Amount Amortization - 0.00 760.91

<6/6>GOURMET BAKLAVA

01-NOV-23 CGST-CI@9% 0.00 1.03

01-NOV-23 SGST-CI@9% 0.00 1.03

01-NOV-23 74056633306330550280281 Bonkers Corner Thane IN 0.00 2,740.22

02-NOV-23 330693123802 UPI Payment Received 0.00 -3,637.45

03-NOV-23 330796937603 UPI Payment Received 0.00 -2,740.22

07-NOV-23 74766513311344253979295 CHOKHANI COMPUTER RANCHI IN 0.00 260.00

07-NOV-23 74332743312331148234967 AUTO AGENCIES RANCHI IN 0.00 950.00

10-NOV-23 74056633316014603112299 FOGLA DURABLES P LTD RANCHI IN 0.00 2,725.00

11-NOV-23 74332743316331558180250 RELIANCE FRESH RANCHI IN 0.00 1,949.00

30-NOV-23 SGST-CI@9% 0.00 7.25

30-NOV-23 Interest Amount Amortization - <7/9> 0.00 80.60

30-NOV-23 CGST-CI@9% 0.00 7.25

30-NOV-23 Principal Amount Amortization - <7/9> 0.00 2,124.20

05-DEC-23 333908440711 UPI Payment Received 0.00 -8,103.30

06-DEC-23 74332743341334035558196 RELIANCE FRESH RANCHI IN 0.00 6,292.88

07-DEC-23 74766513342348121356795 MYNTRA DESIGNS PRIVATE L 0.00 4,259.00

[Link] IN

07-DEC-23 74766513342348121306634 MYNTRA DESIGNS PRIVATE L 0.00 3,239.00

[Link] IN

07-DEC-23 74766513343348195027479 MYNTRA DESIGNS PRIVATE L 0.00 -399.00

[Link] IN

07-DEC-23 74766513343348194979209 MYNTRA DESIGNS PRIVATE L 0.00 -1,199.00

[Link] IN

07-DEC-23 74766513343348194985917 MYNTRA DESIGNS PRIVATE L 0.00 -994.00

[Link] IN

07-DEC-23 74766513343348195034400 MYNTRA DESIGNS PRIVATE L 0.00 -1,667.00

[Link] IN

08-DEC-23 74056633343334217035091 Flipkart Internet Priv Bangalore IN 0.00 -2,266.00

08-DEC-23 74056633343334217040836 Flipkart Internet Priv Bangalore IN 0.00 6,066.00

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
[Link]/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/[Link] are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4035 XXXX XXXX 4003
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
08-DEC-23 74056633343334217046858 Flipkart Internet Priv Bangalore IN 0.00 -269.00

12-DEC-23 74056633347334655800994 Flipkart Internet Priv Bangalore IN 0.00 -1,285.00

12-DEC-23 74056633347334655801075 Flipkart Internet Priv Bangalore IN 0.00 -867.00

13-DEC-23 74332743348334706673327 VED TEXTILES AND APPAR RANCHI IN 0.00 5,075.00

17-DEC-23 74938263352000000171371 AERO CLUB RANCHI IN 0.00 12,433.00

26-DEC-23 SGST-CI@9% 0.00 16.79

26-DEC-23 CGST-CI@9% 0.00 16.79

26-DEC-23 Interest Amount Amortization - <1/3>AERO 0.00 186.50

CLUB

26-DEC-23 CGST-CI@9% 0.00 22.38

26-DEC-23 AERO CLUB RANCHI IN 0.00 248.66

26-DEC-23 AERO CLUB RANCHI IN 0.00 -12,433.00

26-DEC-23 SGST-CI@9% 0.00 22.38

26-DEC-23 Principal Amount Amortization - 0.00 4,082.79

<1/3>AERO CLUB

27-DEC-23 74766513362351448740266 MYNTRA DESIGNS PRIVATE L 0.00 -1,926.48

[Link] IN

31-DEC-23 CGST-CI@9% 0.00 4.87

31-DEC-23 SGST-CI@9% 0.00 4.87

31-DEC-23 Interest Amount Amortization - <8/9> 0.00 54.07

31-DEC-23 Principal Amount Amortization - <8/9> 0.00 2,150.73

05-JAN-24 400514824636 UPI Payment Received 0.00 -20,870.23

26-JAN-24 SGST-CI@9% 0.00 11.27

26-JAN-24 Interest Amount Amortization - <2/3>AERO 0.00 125.25

CLUB

26-JAN-24 Principal Amount Amortization - 0.00 4,144.03

<2/3>AERO CLUB

26-JAN-24 CGST-CI@9% 0.00 11.27

31-JAN-24 Principal Amount Amortization - <9/9> 0.00 2,177.57

31-JAN-24 CGST-CI@9% 0.00 2.45

31-JAN-24 SGST-CI@9% 0.00 2.45

31-JAN-24 Interest Amount Amortization - <9/9> 0.00 27.19

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
[Link]/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/[Link] are requested to immediately notify the Bank of any discrepancy in the statement
 TRANSACTION DETAILS
Card Number : 4035 XXXX XXXX 4003
International
Date Ref. Number Transaction Details Currency
amount
Amount(in `)
06-FEB-24 403727098703 UPI Payment Received 0.00 -6,501.48

26-FEB-24 Interest Amount Amortization - <3/3>AERO 0.00 63.09

CLUB

26-FEB-24 SGST-CI@9% 0.00 5.68

26-FEB-24 CGST-CI@9% 0.00 5.68

26-FEB-24 Principal Amount Amortization - 0.00 4,206.18

<3/3>AERO CLUB

06-MAR-24 406635327879 UPI Payment Received 0.00 -4,280.63

23-MAR-24 74332744084408337985544 LIFE STYLE INTERNATION RANCHI IN 0.00 699.00

23-MAR-24 74585194084050494947404 WESTSIDE-A UNIT OF TRE RANCHI IN 0.00 1,507.00

24-MAR-24 74332744085408476175815 SMART BAZAAR RANCHI IN 0.00 2,632.65

24-MAR-24 74585194087050505465401 RD AND SONS RANCHI IN 0.00 1,415.00

25-MAR-24 74332744086408521633775 IBIBO GROUP PVT LTD MP GURGAON IN 0.00 -250.00

25-MAR-24 74332744086408521611086 IBIBO GROUP PVT LTD MP GURGAON IN 0.00 6,329.00

25-MAR-24 74332744086408598751724 IBIBO GROUP PVT LTD GURGAON IN 0.00 300.00

Sincerely,

Team ICICI Bank

Important Messages
Safe Banking Tips - Do not transact if you find any suspicious device attached to the ATM. Do not take help
from strangers at an ATM.

ICICI Bank Credit Cards Goods and Services Tax Identification Number (GSTIN) is 27AAACI1195H3ZK

HSN Code for service: 9971 - Financial and related services

Our registered office address : ICICI Bank Tower, Bandra Kurla Complex, MUMBAI, Mumbai Suburban,
Maharashtra - 400051

Making only minimum payment every month can lead to repayment stretching over years with consequent
interest payment on outstanding balance

Please pay your credit card outstanding before the payment due date to avoid penal fees and interest
charges.

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
[Link]/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/[Link] are requested to immediately notify the Bank of any discrepancy in the statement
For payments made through cheque, we request you to make the payment atleast 3 working days before the
due date incase of an ICICI Bank cheque and 5 working days before the due date for Non-ICICI Bank cheques.

For any clarification or more information, you may contact us through the 'Get in Touch' option at
[Link]

* Mark-up fee and corresponding GST levied is included in the transaction amount displayed

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
[Link]/Div -III/ST/CDR/23. PAN based STC No:AAACI1195HST001.
REGISTERED OFFICE IS ICICI BANK LIMITED,"LANDMARK",RACE COURSE CIRCLE, VADODARA 390 007 , INDIA.
This is an authenticated intimation/[Link] are requested to immediately notify the Bank of any discrepancy in the statement