| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010016030 | Porumalla Subba Rao | No | Venkatalakshmi |
| 1010016031 | Rayabaram Chinna Anjaiah | No | Nirmala |
| 1010016032 | Rayabaram Dabiksham | No | Chinnamiah |
| 1010016033 | Surtani Venkayya | No | Annamma |
| 1010016035 | Bandi Ramulu | No | Dasaradha |
| 1010016037 | Marrivemala Venkayya | No | Ramana |
| 1010016039 | Nendragutti Venkateswarlu | No | Bodamma |
| 1010016040 | Surtani Peda Guravayya | No | Peda Mangamma |
| 1010016042 | Surthani Chinnaguravayya | No | Chinnamangamma |
| 1010016043 | Surthani Koteswarao | No | Saidamma |
| 1010016048 | Thamiseati Venkatrao | No | Achamma |