| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1009764005 | Botsa Appalaraammurti | Appanna | Parvati |
| 1009764006 | Botsa Demudu | Sanyasi | Buchchulamma |
| 1009764007 | Kaatapalli Appaaraavu | Gowreesh | Arjunamma |
| 1009764008 | Kaatapalli Narsimhaaraavu | Narayana | Ramakrishnamma |
| 1009764009 | Kaatapalli Parasayya | Nagaraju | Krishnamma |
| 1009764010 | Kaatapalli Subbaaraavu | Veeranna Late | Parvati |
| 1009764011 | Kaatapalli Venkataramana | Veerappa Late | Appalasuramma |
| 1009764012 | Katapalli Srinu | Narasimharao | Devi |
| 1009764013 | Miriyaala Appaaraavu | Naidu | Durgamma |
| 1009764014 | Miriyaala Appaaraavu | Ramulu Late | Pattaalamma |
| 1009764015 | Miriyala Virappa | Ramulu Late | Lakshmi |
| 1009764016 | Pendurthi Apparao | Mutyalu | Demudamma |
| 1009764017 | Pendurti Veerappa | Mutyalu | Ganapati |