| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 01125916015010300101 | j. Rangalakshma | hanumatharayappa j. | raaji |
| 01125916015010300102 | j.g. Gangarathnamma | lakshminarasappa j.g. | hanumantappa |
| 01125916015010300703 | k. Ganga Lakshmi | lakshmi narasappa k. | lakshmi narasappa |
| 01125916015010300901 | c. Obullamma | narasimhappa c. | narasimhamurthy |
| 01125916015010400201 | Manjamma thimmadasappa gari | seenappa thimmadasappa gari | seenappa |
| 01125916015010400202 | Anji Jakshi chekkha hanumegoud | chandrashekar chekkha hanumegoud | chandrashekar |
| 01125916015010400203 | Drakshaini t. | krishna murthy timmadasappa gari | krishna murthy |
| 01125916015010400204 | Subbamma k. | rangappa k. | rangappa |
| 01125916015010400205 | Puttamma t. | sanna ramappa t. | sanna ramappa |
| 01125916015010400206 | Renuka d | d.k.hanumantharayappa d | d.k.hanumantharayappa |
| 01125916015010400207 | Vijayamma h.d | manjunath h.d | manjunath |
| 01125916015010400208 | Manjula t. | thimmaraju timma dasappa gari | thimmaraju |
| 01125916015010400209 | Santhamma t | thimmaraju t | thimmaraju |
| 01125916015010400210 | Bhagyamma t. | jagannath t. | jagannath |
| 01125916015010401001 | Nagaratnamma k. | kamanna k. | kamanna |
| 01125916015010401002 | Adivakka k. | mylarappa k. | mylarappa |
| 01125916015010401003 | Adavakka tadamma gari | sivalingappa tadamma gari | adavi lingappa |
| 01125916015010401004 | Doddakka tadamma gari | doddaiah tadamma gari | kariyanna |
| 01125916015010401005 | Aswathamma p. | aswathappa p. | lakshmi narayana |
| 01125916015010401006 | Santhamma t | doddaiah talikari chikkanna gari | doddaiah |
| 01125916015010401007 | Parvathamma c | thippeadivanna lakshmappa gari | thippeadivanna |
| 01125916015010401008 | Padmakka k | doddiah kraadabeerakka gari | doddiah |
| 01125916015010401009 | Ningamma b.d.h.giri | ciddaligappa sidda lingppa gari | ciddaligappa |
| 01125916015010401010 | Thimmakka g | nagaraju gorrapp gari | nagaraju |