| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010225224 | Narayanappa Govindappa | Venkatappa | Rathnamma |
| 1010225225 | Peddagantlappagari Nagaraju | Gaantlappa | Yallamma |
| 1010225227 | Doraswamy Selvaraju | Doraswamy | Anjalamma |
| 1010225229 | Lakshmappa Venkatesu | Venkatesh | Gopamma |
| 1010225230 | Munaswamy Anandappa | Muniswamy | Selvamma |
| 1010225232 | Yallappa Srinivasulu | Yallappa | Girijamma |
| 1010225233 | Chengappa Ramappa | Chengappa | Gajendra |
| 1010225234 | Kummara Mohan | Naranappa | Sulochana |
| 1010225235 | Kummara Narayanappa | Naranappa | Mangamma |