| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010113201 | Atmakuru Pedapenchalaiah | Chandhraiah | Chinnakka |
| 1010113204 | Bandi Sreenivasulu | Sivaramaiah | Penchalamma |
| 1010113205 | Boddu Venkateswarlu | Veera Raghavaiah | Tirupamma |
| 1010113206 | Cheekati Narasimhulu | Narasaiah | Rani |
| 1010113207 | Cheekati Pedapenchalaiah | Narashaiah | Vijayamma |
| 1010113208 | Cheekati Penchalanarasaiah | Peda Penchalaiah | Penchalamma |
| 1010113209 | Cheekati Ramanaiah | Penchalaiah | Chennakrishnamma |
| 1010113210 | Cheekati Vijaya | Naraiah | Penchalamma |
| 1010113211 | Dasari Chandraiah | Naraiah | Lakshmamma |
| 1010113212 | Dasari Narasimhulu | Chandhraiah | Audilakshmamma |
| 1010113213 | Divanam Narayana | Venkataiah | Vanitha |
| 1010113214 | Divanam Penchalaiah | Polaiah | Lakshmamma |
| 1010113216 | Divanam Ramanaiah | Venkataiah | Chennamma |
| 1010113218 | Divanam Tirupalu | Penchalaiah | Jayyamma |
| 1010113219 | Divanam Venkateswarlu | Naaraiah | Krishnamma |
| 1010113220 | Gollapalli Venkataramanaiah | Penchalaiah | Polamma |
| 1010113221 | Gunduboina Singaraiah | Ramanaiah | Subbamma |
| 1010113222 | Juvvigunta Bala Penchalaiah | Penchalaiah | Penchalamma |
| 1010113223 | Juvvigunta Chinnabbaiah | Veeraiah | Lakshmi Devi |
| 1010113224 | Juvvigunta Penchalakondaiah | Chinna Penchalaiah | Lakshmamma |
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