| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010197197 | Burigalli Chandrappa | Burigalliramanna | Sarasamma |
| 1010197198 | Aggisaippagaaru Reddeppa | Aaggirappa | Yallamma |
| 1010197199 | Aggiseppa Venkatappa | Aaggirappa | Venkatamma |
| 1010197200 | Bhusi Gaalla Reddeppa | Kadirappa | Lakshmamma |
| 1010197201 | Busigaallu Gangulappa | Bramanna | Lakshmidevi |
| 1010197202 | Busigaallu Gangulappa | Bbayakondippa | Nagaraju |
| 1010197203 | Busigalla Naraayanappa | Bbayakondippa | Narasamma |
| 1010197204 | Busigalla Venkataramana | Ramanna | Chinnakka |
| 1010197205 | Chinta Gaalla Buddanna | Cmuneppa | Reddemma |
| 1010197206 | Chintagalla Venkataramana | Cbuddanna | Chandra Kala |
| 1010197207 | Cimtagaallu Gangulappa | Cmuneppa | Rathnamma |
| 1010197208 | Cimtagaallu Paapanna | Cbuddanna | Ctelliappa |
| 1010197209 | Neerugattu Munirathnappa | Ngangulappa | Eswaramma |
| 1010197210 | Paadala Modukanna | Pgangulappa | Naagamma |
| 1010197212 | Pagala Gangappa | Pgudhrappa | Yallamma |
| 1010197213 | Pagala Gangulappa | Pvenkatappa | Jayamma |
| 1010197214 | Thothi Kadireppa | Tmallana | Gagulamma |
| 1010197215 | Toti Kadirappa | Tvenkatappa | Gangulamma |
| 1010197216 | Toti Venkataramana | Tali Buddanna | Reddemma |
| 1010197217 | Toti Venkataramana | Tvenkatappa | Mangamma |