| Claim ID | Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 021000627 | 01022915022010102005 | Samudram kommu | late appayya kommu | gopal |
| 021000752 | 01022915022010102501 | Alivelumangamma darlapudi | krishna mohanrao darlapudi | v.l.ganapatisharma |
| 021000463 | 01022915022010103106 | Yarrayyamma tanavarapu | veeraswami tanavarapu | veeraswami |
| 021000519 | 01022915022010103514 | Simhachalam karaka | letuappanna karaka | jagadeesh |