FASTag E-Statement

Bank Details Customer Details

Statement Reference Customer ID: 10287302 Address:
210218/081301/84
Number ASWIN KUMAR
Name: ASWIN KUMAR SELVARAJ SELVARAJ
Name of ICICI Bank
Branch making the ICICI Bank Limited BKC NO 9 SARASWATHI
Statement Period: 18/02/2018 to 24/02/2018 NAGAR,,
supply:
8TH SREET,
Bill From Address of ICICI Bank Towers, Statement Date: 21/02/2018 THIRUVOTTIYUR,
ICICI: Bandra Kurla Complex, CHENNAI - 600019,
Mumbai 400071 Type of address: Permanent Tamil Nadu,
INDIA.
GSTIN of ICICI: 27AAACI1195H3ZK GSTIN Number: N/A

Place of Supply: Tamil Nadu State Code: 33

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Vehicle Summary
Tag Account No. Licence Plate No. Group Trip Count Opening Balance (Rs.) Credit (Rs.) Debit (Rs.) Closing Balance
(Rs.)
20554255 TN04AA7517 Default 2 490.00 0.00 - 105.00 385.00
Total 2 490.00 0.00 - 105.00 385.00

Transaction Details
Date & Time Activity Unique Transaction ID Transaction Description Amount Amount
(Rs.)(CR) (Rs.)(DR)
TN04AA7517 - 20554255
18/02/2018 16:42:47 Trip (RRN No / Trip No) 00113026449 / 117940434 Plaza Name:Paranur- Lane ID:L07 0.00 55.00
17/02/2018 20:38:54 Trip (RRN No / Trip No) 0000000180217030300829 Plaza Name:Athur- Lane ID:L03 0.00 50.00
/ 117917589

CUG Payment Details

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GSTIN Details
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Load by UPI
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 FASTag E-Statement
Important Messages
The Agency does not guarantee the accuracy of this information. For up-to-date account information, please contact our Customer Care at 18602670104.

* Date and Time for Activity type- Trip is the Trip Date & Time, not the Transaction Posting Date & Time

• ICICI Bank's Service Tax Registration number is Mum/Div - III/ST/CDR/23.

• With effect from 01/06/2016, the service tax rate has been increased from 14.50% to 15.00% which includes “Swachh Bharat Cess” at the rate of
0.50% and “Krishi Kalyan Cess” at the rate of 0.50%.
• With effect from 01/07/2017,Goods and Services Tax will be applicable on the services which include IGST @ 18%, CGST @ 9% and SGST @ 9%.
• The category of service:Tag,Charge Tag or Other payment Tag service. PAN based STC No:AAACI1195HST001.
• All the customers are advised to update new address with the Bank within 2 weeks of change in address.
• Our registered office address : ICICI Bank Limited, "Landmark", Race Course Circle, Vadodara - 390 007, Gujarat, India.

Declaration For ICICI Bank Limited

Authorized Signatory

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