| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 01123104004030100101 | akkim Peddakka | veeranaagappa akkim | veeranagappa |
| 01123104004030100102 | harijana Lakshminarasamma | erraiah harijana | erraiah |
| 01123104004030100103 | akkim Lakshmamma | pullanna akkim | adeppa |
| 01123104004030100104 | adiandra Nagamma | venkatesh adiandra | krishna |
| 01123104004030100105 | matangi Venkatappa | venkatappa matangi | venkatappa |
| 01123104004030100106 | Lakshmamma Akkim | akkim peddapullanna | akkim adeppa |
| 01123104004030100107 | Peddakka Akkim | akkim veeranagappa | veeranarappa |
| 01123104004030100108 | Chandramma Harijana | Harijana Venkatappa | venkatappa |
| 01123104004030100701 | Chinnanagamma palyam | nageswara palyam | nageswara |
| 01123104004030100801 | kollamaram Ramasubbamma | narayana kollamaram | narayana |
| 01123104004030100901 | Lakshminarayana harijana | peddanna harijana | peddanna |
| 01123104004030100902 | Venkatamma dommera | ramudu dommera | ramudu |
| 01123104004030100903 | Nagamma akkim | chinna pullanna akkim | chinna pullanna |
| 01123104004030100904 | Peddakka harijana | rangappa harijana | rangappa |
| 01123104004030100905 | Venkataramanamma sakala | sreeramulu sakala | sreeramulu |
| 01123104004030101001 | Venkatamma dasari | nageswara dasari | nageswara |
| 01123104004030101002 | Lakshmamma dasari | ganganna dasari | ganganna |
| 01123104004030101003 | Erramma mandhala | pedda adinarayana mandhala | pedda adinarayana |
| 01123104004030101004 | Narayanamma dasari | venkatappa dasari | venkatappa |
| 01123104004030101005 | Subbamma talari | eravanna talari | eravanna |
| 01123104004030101006 | Lingamma anke | narasamma anke | narasamma |
| 01123104004030101007 | Lingamma agaraharam | chinnaganganna agaraharam | chinnaganganna |
| 01123104004030101008 | Lingamma talari | veera musalaiah talari | veera musalaiah |
| 01123104004030101009 | Govindamma arava | anjaneyulu arava | anjaneyulu |
| 01123104004030101010 | Chinnanagamma agrarm | chinnarayana agrarm | chinnarayana |
| 01123104004030101011 | Nagendramma erikila | ganganna erikila | ganganna |
| 01123104004030101012 | Ramanamma mandhala | venkatesh mandhala | venkatesh |