| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010110016 | Adduri Kamakshaiah | Kotaiah | Polamma |
| 1010110017 | Atapudi Nagaiah | Venkataiah | Chenchamma |
| 1010110019 | Chalamcherla Kotaiah | Gillaiah | Bujjamma |
| 1010110020 | Chovuturu Chenchaiah | Potaiah | Nagamani |
| 1010110021 | Eega Raamaiah | Ramakristaiah | Lakshmi |
| 1010110022 | Ekollu Subbrayudu | Pullaiah | Chenchamma |
| 1010110025 | Gandalla Chenchaiah | Chinavenkaiah | Subbamma |
| 1010110026 | Gandalla Ramanaiah | Subramanyam | Kondamma |
| 1010110030 | Indla Sreenivasulu | Nagabhushanam | Chendramma |
| 1010110032 | Indla Subbarayudu | Pullaiah | Chenchamma |
| 1010110033 | Katti Seenaiah | Venkaiah | Kanakamma |
| 1010110034 | Komaragiri Chenchaiah | Tiripaiah | Narasamma |
| 1010110035 | Komaragiri Lakshmaiah | Raghaiah | Subbamma |
| 1010110036 | Komaragiri Raagaiah | Venkateswarlu | Lakshmamma |
| 1010110038 | Namburi Chenchaiah | Yanadaiah | Ramanamma |
| 1010110039 | Namburi Polaiah | Mallaiah | Chenchamma |
| 1010110040 | Namburu Mani | Chechaiah | Polamma |
| 1010110041 | Nimmakayala Venkateswarallu | Veankaiah | Chenchamma |
| 1010110042 | Ponnuru Chinna Munuswamy | Malyadri | Paavani |
| 1010110043 | Potluri Seetaiah | Chaciah | Venkamma |
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