| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 01125916015040100202 | Jayamma krishnappa gari | krishnappa krishnappa gari | krishnappa |
| 01125916015040100206 | Sanna Lingamma kottalandi thimmappa gari | thipperangappa kottalandi thimmappa gari | devaraj |
| 01125916015040100210 | Savitramma kottalam adivamma gari | hanumantarayappa kottalam adivamma gari | hareesh |
| 01125916015040100305 | Lakshamma hanumantarayappa gari | adivanna hanumantarayappa gari | adivanna |
| 01125916015040100306 | Nagamma beeranna gari | ranganathappa beeranna gari | ranganathappa |
| 01125916015040100307 | Thimmakka chikka adivanna gari | narayanappa chikka adivanna gari | ramesh |