| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010005707 | Garikapudi Adam | X | Danamma |
| 1010005708 | Garikapudi Mahakalla Rao | X | Martamma |
| 1010005709 | Gudipuri Srinu | X | Mariyamma |
| 1010005710 | Inumukkala Chinna Gopaiah | X | Anjamma |
| 1010005711 | Inumukkala Ramesh | Xx | Yesuratamma |
| 1010005712 | Kammavarapu Subbaiah | X | Esurani |
| 1010005713 | Nadigam Prubhudas | X | Ademma |
| 1010005715 | Palakaluri Viraiah | Xx | Anjamma |
| 1010005716 | Palavai Venkata Rao | X | Meri |
| 1010005717 | Polavai Muttaiah | Xx | Susila |