| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 01125909009110101001 | Thayamma kariyannagari | k.chigathimmappa kariyannagari | chiga timmappa |
| 01125909009110101002 | Chithamma konappa gari | konappa konappa gari | konappa |
| 01125909009110101003 | Ratnamma p | thigalappa p | tigalappa |
| 01125909009110101004 | Girigamma karippa gari | chandrappa karippa gari | chandrappa |
| 01125909009110101005 | Lakshmidevi gopala krishna gari | gopalakrishna gopala krishna gari | gopalakrishna |
| 01125909009110101006 | Lokamma rangappa gari | rangappa rangappa gari | rangappa |
| 01125909009110101007 | Sarojamma kondappa gari | giriyappa kondappa gari | giriyappa |
| 01125909009110101008 | Rangamma p | jayappa p | raghuver |
| 01125909009110101009 | Thimmakka eeranna gari | letaeerayya eeranna gari | shivanna |
| 01125909009110101010 | Sakamma thimmanna gari | thimmanna thimmanna gari | jaya raamappa |