| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010225491 | Muneppa Gari Gopalappa | Muneppa | Sarasamma |
| 1010225492 | Subbayya Gari Kadirappa | Subbayya Naidu | Kanthamma |
| 1010225496 | Gangappa Jayappa | Gangappa | Radhamma |
| 1010225497 | Govindappa Gari Ravi | Govindappa | Venkatarathna |
| 1010225498 | Venkatappa Gari Govindappa | Venkatappa | Rathnamma |
| 1010225500 | Kuchimuneppa Rajappa | Muneppa | Suseelamma |
| 1010225505 | Ramappagari Sivakumar | Ramappa | Venkatamma |
| 1010225507 | Chandrappa Gari Sampangi | Chandrappa | Anjamma |
| 1010225510 | Nareppa Gari Hanumanthu | Nareppa | Chengamma |
| 1010225511 | Timmarayappa Kondappa | Thimmarayudu | Munemma |