| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 011284XX021XXX000301 | Sreedevi eerannagari | gaveppa eerannagari | badrinath |
| 011284XX021XXX000302 | lakshmamma boya | narayanappa boya | shankara |
| 011284XX021XXX000303 | Gangamma rodda molu | ramanjinappa rodda molu | pavan |
| 011284XX021XXX000304 | Sanjeevamma golla | venkatesh golla | venu |
| 011284XX021XXX000305 | shantamma valmiki | anjaneyulu valmiki | kishore |
| 011284XX021XXX000307 | sanjeevamma boya | venkataramanappa boya | venkatesulu |
| 011284XX021XXX000308 | Thirumalamma narayanappa gari | krishtappa narayanappa gari | dharmateja |