| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010227850 | Perumqppa Krishnappa | Perumqppa | Krishnamma |
| 1010227852 | Munaswamy Narayanappa | Munaswamy | Betamma |
| 1010227853 | Bandeppa Rajappa | Bandeppa | Narayanamma |
| 1010227857 | Chinnaperiyappa Gari Vemkatesh | Chinappa | Paapamma |
| 1010227858 | Chinnaswami Seenappa | Chinaswamy | Ratnamma |
| 1010227859 | Damdappagaari Muniraaju | Dhandappa | Neelamma |
| 1010227860 | Gaunollapaapanna Munaswaami | Papanna | Ratnamma |
| 1010227861 | Gojjappa Venkatesu | Gojappa | Lakshmamma |
| 1010227864 | Pmunaswaami Raamakrishnappa | Venkatappa | Vemkatalakshmamma |
| 1010227866 | Timmarayappa Venkatesu | Ramappa | Dhanamma |
| 1010227869 | Venkatesh Suresh | Venkatesh | Ramadevi |