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Customer Name

Card Account No

MR. PRASHANT KSHATRIYA

5239 XXXX XXXX 7006

Minimum Amount Due

Statement Date

15/12/2015

Your Total Amount Due

420.00

| 8,243.26
Previous Balance Purchases/ Charges Cash Advances

Statement
Summary

3,031.24

Credit
Summary

8,582.16

0.00

3,370.14

Credit Limit

Available Credit

1,00,000.00

91,756.74

Points Earned

REWARDS

Payments / Credits

=
Due Date :

03/01/2016

Interest will be levied if Total


Amount due is not paid

Points Transferred to PAYBACK (Acc:9401160075270007)

431

431

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Internet Banking and convert into EMI now ! TnC apply, visit www.icicibank.com/emioncall for details.

TRANSACTION DETAILS
Card Number :
Date

0000 XXXX XXXX 3431 -

Ref. Number

13/12/2015

16/11/2015

Ref. Number

Transaction Details

85215225320545246763686 H P HIRA FUELS GURGAON IN


Service tax reversal

18/11/2015

Rev of HPCL Surcharge Rev

19/11/2015

CLICK TO PAY PAYMENT RECEIVED


85215225327546440457128 OMERA FUELS GURGAON IN

25/11/2015

Service tax reversal

25/11/2015

Rev of HPCL Surcharge Rev

26/11/2015

Currency

International
amount

Amount(in |)
100.00 CR

5239 XXXX XXXX 7006 - PRASHANT KSHATRIYA

18/11/2015

22/11/2015

Reward
Points

Cashback@ HPCL Fuel Purchases

Card Number :
Date

Transaction Details

85215225330547538380557 SHREYANS AUTOMOBILES DELHI IN

29/11/2015

Rev of HPCL Surcharge Rev

29/11/2015

Service tax reversal

Reward
Points
81

Currency

International
amount

Amount(in |)
1,611.15
5.68 CR
39.17 CR
3,031.24 CR

81

1,611.15
5.68 CR
39.17 CR

79

1,573.81
38.26 CR
5.55 CR

TRANSACTION DETAILS
Card Number :
Date
04/12/2015

5239 XXXX XXXX 7006 - PRASHANT KSHATRIYA

Ref. Number

85215225338548767879717 H P HIRA FUELS GURGAON IN

06/12/2015

Rev of HPCL Surcharge Rev

06/12/2015

Service tax reversal

12/12/2015

Reward
Points

Transaction Details

Rev of HPCL Surcharge Rev

15/12/2015

Service tax reversal

International
amount

Amount(in |)

96

1,915.07
46.56 CR
6.75 CR

85215225347549029191619 KEEL-KAR SERVICE STATI DELHI IN

15/12/2015

Currency

94

1,870.98
45.48 CR
6.60 CR

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Important Messages
Safety Tips - Do not transact if you find any suspicious device attached to the ATM machine. Do not take help from
strangers at an ATM.
ICICI Bank's Service Tax Registration number is Mum/Div - III/ST/CDR/23.
The category of service:Credit & Debit Card,Charge Card or Other payment Card service. PAN based STC
No:AAACI1195HST001.
Our registered office address : ICICI Bank Limited, "Landmark", Race Course Circle, Vadodara - 390 007, Gujarat, India.
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.
For payments made through cheque, we request you to make the payment atleast 3 working days before the due date
incase of ICICI Bank cheque and 5 working days before the due the date for Non-ICICI Bank cheque.

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For ICICI Bank Limited

Authorised Signatory

The category of service:Credit & Debit Card,Charge Card or Other payment Card service.
RegistrationNo.Mum/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/statement.Customers are requested to immediately notify the Bank of any discrepancy in the statement

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