| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010103402 | Batala Nadipipenchalaiah | Nadipi Penchalaiah | Lakshmamma |
| 1010103403 | Beernedi Chinnanarasaiah | Chinnanaraaiah | Vengamma |
| 1010103404 | Beernedi Venkatanarasayya | Venkatanarasayya | Lakshmidevi |
| 1010103406 | Beernidi Narasayya | Narasaiah | Penchalamma |
| 1010103407 | Devandla Venkatesh | Venkateswarlu | Venkataramanamma |
| 1010103408 | Kanala Muneyya | Muneiah | Ramanaiah |
| 1010103409 | Kumbhagiri Ramakrishnayya | Gopalaiah | Krishnamma |
| 1010103410 | Naru Polireddy | Chinnabbi | Guravamma |
| 1010103411 | Patteda Venkataiah | Venkataiah | Subbamma |
| 1010103412 | Pattida Pullayya | Pullaiah | Bhagya lakshmi |