| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 132681 | Melappa Govindappa | Melappa | Melappa Rajamma |
| 3882708 | Kethappagari Venkatesh | Kethappagari Devamma | Kethappagari Devamma |
| 9905265 | Thayalurappa Gari Venkatesh | Thayalurappa | Nagarani |
| 9905266 | Buddannagari Ramappa | Buddappa | Rathnamma |
| 9905267 | Gondappa Vari Sivalimgam | Govinda Gowndar | Nadiya |
| 9905268 | Jangalapalli Gari Perumalappa | Munaswamy | Subamma |
| 9905272 | Chinannagari Anil Kumar | Sankarappa | Munirathnamma |
| 9905273 | Munivenkatappa Gari Govindappa | Munivenkatappa | Laxmamma |
| 9905274 | Salamsab Gari Kousarbanu | Salamsab | Niyaz Basha |
| 9905275 | Salamsab Gari Zelaykabbi | Salamsab | Kousarbanu |
| 9905277 | Subbarayappa Gari Munilaxmamma | Subbarayappa | Saraladavi |
| 9905279 | Pottigownder Vari Rajendra Gowender | Pottigownder | Manjula |
| 9905280 | Chinannagari Sankarappa | Chinna | Munirathnamma |
| 9905281 | Botheppavari Seenappa | Botheppa | Varalaxmi |
| 9905282 | Yellappa Gari Narayana Gowdu | Yellappa | Jayalaxmi |
| 9905284 | Munaswamy Gari Seenappa | Munaswamy | Rajamma |
| 9905286 | Govindagownder Gari Ganesh | Govinda Gowndar | Laxmamma |
| 9905288 | Pungunuru Gari Harish | Ramakrishnappa | Leelavathi |
| 9905289 | Ramappa Gari Sankarappa | Ramappa | Chinnamma |
| 9905291 | Thayalurappa Gari Vijay Kumar | Muneppa | Kavitha |
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