| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010016099 | Bachalakuri Vengayya | No | Nagendram |
| 1010016100 | Bamka Esudasu | No | Nagamma |
| 1010016101 | Bamka Prasad | No | Annamma |
| 1010016102 | Battula Esobu | No | Marutamma |
| 1010016104 | Mallarapu Padalu | No | Veeramma |
| 1010016106 | Vemuluri Rattayya | Venkaiah | Balakumari |
| 1010016107 | Bhukya Basu Nayak | No | Ratti Bai |
| 1010016108 | Jarapala Balu Nayak | Somlanaik | Hanimi Bai |
| 1010016110 | Jarapala Krishna Nayak | No | Yamuna |
| 1010016111 | Jarapala Lakshma Nayak | No | Bali Bai |
| 1010016112 | Jarapala Narasimha Nayak | No | Panemma |
| 1010016113 | Jarapala Narasimharao Naik | Somlanaik | Kamalabai |
| 1010016115 | Jarapala Srinu Nayak | No | Kavita Bai |
| 1010016116 | Jarapala Srinu Nayak | Somlanaik | Manga Bai |
| 1010016117 | Karabhushi Edukondalu | No | Pusphavati |
| 1010016118 | Mudhavatu Rekha Nayak | No | Mangi Bai |
| 1010016120 | Ramavatu Galeyya Naik | No | Anjamma |
| 1010016122 | Ramavatu Srinu Nayak | No | Sakri Bai |
| 1010016123 | Ramavathu Venkateswarlu Nayak | Pedanarasimhanaik | Bichali Bai |