| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 01062413012010100501 | VENKATESWARAMMA velivalla | nageswararao velivalla | venkataramana |
| 01062413012010100503 | MANIKYAMMA kankata | baalasundaram kankata | raambabu |
| 01062413012010101001 | Eeswaramma mahadeva | sidda chari mahadeva | siddachari |
| 01062413012010102009 | nakshatra boddu | kutumba rao boddu | swarna vani |