| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 01125916015030100101 | k. Lakshmamma | late hanumappa k. | manjunath |
| 01125916015030100102 | b Jayamma | venkatappa b | pavankumar |
| 01125916015030100103 | p Aswarthamma | hanumantappa p | masekka |
| 01125916015030100104 | rangana palli Bhulakshamma | thimmappa rangana palli | thimmappa |
| 01125916015030100106 | gullappa gari Aswarthamma | rama chandrappa gullappa gari | gangadhar |
| 01125916015030100107 | s. Nagaratnamma | narayanappa s. | naresh babu |
| 01125916015030100108 | palakuntha shanthamma | narayanappa palakuntha | narayanappa |
| 01125916015030100110 | badanna Venkata Lakshmamma | ravi sankar badanna | divakar babu |
| 01125916015030100111 | k.k. Nagamma | venkataranappa k.k. | aanandppa |
| 01125916015030100112 | p. Sunandamma | ramgappa p. | nagamma |
| 01125916015030100113 | palakantha Gagaamm | nagappa palakantha | ramanji |