| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 01125503002080100101 | Narasamma golla | ramchandrappa golla | ramachandrappa |
| 01125503002080100604 | Lakshmi Narayanamma golla | nagamalappa golla | nagamalappa |
| 01125503002080100809 | Lakshmi Davimma davolu | shiva ramappa davolu | shiva ramappa |
| 01125503002080100910 | Lakshmi Davimma adenna gari | rama krishna reddy adenna gari | rama krishna reddy |
| 01125503002080101310 | Khatun Bee sheik | abdulsab sheik | mohammadrafi |