| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1009911149 | Banikala Venkatarao | Appanna | Paidamma |
| 1009911152 | Lodugu Pedda Abbai | Mallayya | Venkamma |
| 1009911153 | Potluri Subhramanyam | Venkatesulu | Lakshmi |
| 1009911154 | Shek Babu | Perasaheb | Muntaj |
| 1009911156 | Sivarathree Veeraswami | Ramulu | Ramulu |
| 1009911157 | Tiramalakonda Seetayya | Balayya | Venkateswaramma |
| 1009911159 | Valluri Subbarao | Peddasubbarao | Maridamma |
| 1009911160 | Vathada Veerababu | Veeraju | Bhagyalakshmi |
| 1009911161 | Peddulu Vemula | Late Peddulu | Vemkamma |
| 1009911162 | Chelam Chelam Chanchuramayya | Akkulu | Pasupuleti Yedukondalu |
| 1009911163 | Chelam Chelam Venkatarao | Chenchu Ramulu | Subbalakshmi |
| 1009911164 | Ganta Gopi | Musalayya | Musalayya |
| 1009911165 | Potluri Narasimhulu | Venkateswarulu | Polisamma |
| 1009911166 | Valluri Nageswarao | Ravanayya | Dhavalakshmi |