| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 9924629 | Kundhati Simhachalam | Suriappamma | Simhachalam |
| 9925066 | Batti Chinnodu | Appalaswamy | Sangamma |
| 9924630 | Botti Simhachalam | Appalaswamy | Bharathi |
| 9926114 | Botsa Appalaswami | Ramayya | Paramma |
| 9920386 | Salila Lacchayya | Appiyya | Gangamma |
| 1009730476 | Akali Chinnodu | Gangayya Late | Chinnammi |
| 1009730477 | Annu Nareyudu | Somayya | Kamalamma |
| 1009730478 | Annu Tavitayya | Ragavayya | Ratnakumari |
| 1009730479 | Balaga Simhachalam | Sureedu | Seethamma |
| 1009730480 | Chaviti Appadu | Late Kasiyya | Chinalakshmi |
| 1009730482 | Chaviti Kasayya | X | Karunamma |
| 1009730483 | Chaviti Kumaraswami | Appayya Late | Mamgamma |
| 1009730484 | Chaviti Paidiraju | Late Appaplaswamy | Bujji |
| 1009730485 | Cherukibilli Samsaari | Chinnayya | Tavitamma |
| 1009730486 | Cherukubilli Balaram | Pentayya | Kalyani |
| 1009730487 | Cherukubilli Bheemayya | Ramayya | Kantamma |
| 1009730488 | Cherukubilli Bhujamgaraavu | Ramayya | Vemkati |
| 1009730489 | Cherukubilli Krishna | Achayya | Padma |
| 1009730490 | Cherukubilli Samkararaavu | Ramayya | Venkati |
| 1009730491 | Cherukubilli Sanyaasi | X | Lakshmi |
|