| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1009706967 | Dondia Madhav | Maniko | Appili |
| 1009706968 | Dondiya Dilleswar | Dudisti | Tilotama |
| 1009706969 | Donni Benu | Kannu | Kanchan |
| 1009706970 | Donni Keshoba | Ruddu | Rukuna |
| 1009706971 | Senapati Biplar | Budiya | Trivenee |
| 1009706972 | Senapati Judhsti | Budiya | Laxmi |
| 1009706973 | Senapati Krishana Chandro | Karo | Pithambaro Senapathi |
| 1009706974 | Senapati Rajendra | Maniko | Sarswati |