| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 01075413007160100104 | tamma Samrajyam | koteswara rao tamma | govidarajulu |
| 01075413007160100207 | lanke Bulli Mahalakshmi | naguru lanke | yesubabu |
| 01075413007160100702 | nagidi Saiyamma | sriramulu nagidi | srinu |
| 01075413007160101004 | chippala Chinnammaiah | veera raghavaiah chippala | manikyarao |