| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 30804 | Urusupati Ankaiah | Subbaiah | Ravanamma |
| 30810 | Kunchem Krishnaiah | Narasaiah | Ramanamma |
| 30822 | Kunchem Bala Krishnaiah | Bakkaiah | Polamma |
| 30823 | Adasanapalli Ponnuraiah | Penchelaih | Chinnamma |
| 30824 | Kunchem Venkataiah | Polaiah | Bujjamma |
| 30826 | Adasanapalli Penchelaiah | Vemaiah | Prameela |
| 30830 | Kunchem Krushnaiah | Polaiah | Anakamma |
| 30834 | Katti Venkateswarlu | Chinnaiah | Yamini |
| 30839 | Kumbham China Ankaiah | Narasaiah | Venkatamma |
| 30840 | Kunchem Peda Ankaiah | Narasaiah | Ankamma |
| 30842 | Adasanapalli Penchelaiah | Adivaiah | Jayabharathi |
| 30845 | Kunchem Darmaiah | Bakkaiah | Narasamma |
| 30846 | Urusupati Ankaiah | Subbaiah | Ankamma |
| 1010116315 | Adasanapalli Adivayya | Venkateswarlu | Polamma |
| 1010116316 | Adasanapalli Penchalayya | Penchala Narasaiah | Anjamma |
| 1010116317 | Adasanapalli Penchalayya | Kamakshaiah | Bujjamma |
| 1010116318 | Adasanapalli Pullayya | Vemaiah | Penchalamma |
| 1010116319 | Kuncham Adeyya | Devaiah | Edukondalu |
| 1010116320 | Kuncham Lakshmi Narasayya | Sarasaiah | Ratnamma |
| 1010116321 | Molakala Pedda Ankayya | Penchalaiah | Sanjeevamma |
|