| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010228155 | P Chinnapayya | Papanna | Venkatalaxmi |
| 1010228174 | Late Chinnappayya Hanumanthu | Late Chinnapayya | Mallika |
| 1010228175 | Surappa Gari Nagaraju | Surappa | Vijayalakshmi |
| 1010228176 | Ravi Kumar Gari Padma | Ravi Kumar | Ravi Kumar |
| 1010228177 | Veerappa Gari Sankarappa | Veerappa | Mangamma |
| 1010228178 | A Seenappa | Amasappa | Munemma |
| 1010228179 | A Venugopal | Late Annmalai | Ammu |
| 1010228181 | C Chinnatambi | Chinnapayya | Kalyani |
| 1010228182 | C Hanumappa | Chinnapayya | Kannamma |
| 1010228183 | D Bogiraju | Dhadhappa | Vijayamma |
| 1010228184 | G Govindaswami | Hanumantu | Rukkamma |
| 1010228186 | K Egilerappa | Late Kannappa | Madhi |
| 1010228188 | K Nagappa | Late Karayappa | Ranemma |
| 1010228189 | K Raman | Kareppa | Rani |
| 1010228192 | P Nagabhushanam | Periparitappa | Vijayamma |
| 1010228193 | R Narayanappa | Rangappa | Yellamma |
| 1010228194 | S Srinivasulu | Anne Appa | Suseelamma |
| 1010228196 | T Muneppa | Natesh | Chinnataayi |
| 1010228197 | Y Munikrishnan | Yabbirappa | Sujata |