| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 30052 | B Lakshamma Lakshamma | Bodeppa | Shankaramma |
| 30053 | Vagatappagari Goonappa | Vagatappa | Narayanamma |
| 30054 | Munivenkaappa Gari Chinayya | Munivenkatappa | Jayamma |
| 30055 | Gummappagari Perumal | Gummappa | Santamma |
| 30056 | Muneppagari Veerppa | Muneppa | Yallamma |
| 30057 | Munaswamyvari Chandrappa | Munaswamy | Venkatamma |
| 30059 | Venkatesu Venkatesu | Munaswamy | Palani |