| Application Number | Policy Holder Name | Father Husband Name | Age | Gender | Caste | Nominee Name |
| 21200 | SUBBARAYUDU PESALA | RAJANNA | 29 | Male | SC | NAGALAKSHAMMA |
| 21888 | PESALA SUBBARAYUDU | S/0 RAJANNA | 29 | Male | SC | NAGALAKSHAMMA |
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