| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 01123109009020100405 | Venkatalakshmi nagothi | govedu nagothi | jyothishta |
| 01123109009020100506 | Sanjamma nagothi | cenachannappa nagothi | ramesh naidu |
| 01123109009020100602 | Nagamma saake | raamachnra saake | lalitha |
| 01123109009020100603 | Narayanamma saake | vejiyaramula saake | chandramohan |
| 01123109009020100704 | Padmavathi kanam | sreenivasulu kanam | sreenivasulu |
| 01123109009020100705 | Savithri neppalli | pedda narayanaswami neppalli | pedda narayanaswami |
| 01123109009020101306 | Varadamma sake | polappa sake | thirupalu |