| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010014492 | Banavatthu Venkata Nayak | Kristaiah Naik | Sitaram Bai |
| 1010014493 | Bhanavathu Srinunaik | Venkataiah Naik | Bujjibai |
| 1010014504 | Ramavathu Bujjinaik | Yagaiah | Somamma |
| 1010014512 | Koppera Mallaiah | Kesayulu | Padma |
| 1010014514 | Ramaavatu Venkata Kotaiah | Kotaiah | Sovamma |
| 1010014515 | Ramaavatu Venkateswarlu | Venkatakotaiah | Jyothi |
| 1010014516 | Vigndi Lakshumaiah | Yallaiah | Sugunamma |