| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 9906419 | Gorelappagari Krishnappa | Gorelappa | Adelaxamamma |
| 9906420 | Gorelappagari Jayappa | Venkatappa | Rangamma |
| 9906421 | Gorelappagari Munirayappa | Gorelappa | Nagarajulu |
| 9906422 | Venkataswamigari Krishnappa | Venkataswami | Parvathamma |
| 9906423 | Chinappayagari Narayanappa | Chinappaya | Papamma |
| 1010225153 | Annappa Jyothiswarayya | Annappa | Kalavathi |
| 1010225154 | Chinnagangulappa Yallappa | Changalappa | Subbamma |
| 1010225155 | Kotholu Gaari Venkatesu | Chinnappaya | Manjulamma |
| 1010225156 | Munaswamy Sriramappa | Munaswamy | Chandramma |
| 1010225157 | Muneppa Muneppa | Erappa | Padmamma |
| 1010225159 | Sithakka Gurgumurthi Gurumurthi | Yallappa | Sarasamma |
| 1010225161 | Venkatappa Gurappa | Venkatappa | Mangamma |