| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010227914 | Chinna Appayya Munikrishnappa | Chinapapayya | Jayalakshmi |
| 1010227916 | Chinnapayyappagaari Venkatesh | Chinapapayya | Sarasamma |
| 1010227917 | Chinnappa Seetappa | Chinappa | Ratnamma |
| 1010227918 | Chinnappa Venkatesh | Chinappa | Bhaagyamma |
| 1010227919 | Errappa Munaswaami | Yerappa | Ellamma |
| 1010227921 | Matteppa Chandrayappa | Yatteppa | VENKATAMMA C |
| 1010227922 | Matteppa Raamappa | Yerrappa | Lakshmamma |
| 1010227923 | Naareppa Govindappa | Nareppa | Pushpa |
| 1010227924 | Naareppa Munivenkatappa | Nareppa | Munemma |
| 1010227925 | Nallappa Hamsagiri | Nalappa | Bhoolakshmi |
| 1010227926 | Peddaraamappa Munaswaami | Peddaramappa | Munemma |
| 1010227927 | Raamappa Lakshmappa | Ramappa | Vallemma |
| 1010227928 | Raamappa Venkatesh | Ramappa | Munilakshmamma |