| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010224753 | Veerappa Gari Sankarappa | Muneppa | Sulochana |
| 1010224754 | Chennappa Venkataswamy | Chennappa | Munemma |
| 1010224755 | Chinnappa Gangamma | Chinna Venkatappa | Kamalamma |
| 1010224756 | Eerappa Muneppa | Eerappa | Sarasamma |
| 1010224758 | Narayanappa Subramanyam | Narayanappa | Yallamma |
| 1010224759 | Ramanna Gangappa | Ramanna | Adilakshmamma |
| 1010224760 | Ramanna Nagaraju | Ramappa | Lakshmamma |
| 1010224761 | Ramanna Narayanappa | Venkatappa | Gurramma |
| 1010224763 | Thotivenkatramappa Nanjappa | Venkataramappa | Siddulamma |
| 1010224767 | Gantlappa Chinnappa | Gantlappa | Thippamma |
| 1010224769 | Kottanagappa Gopi | Nagappa | Ramakka |
| 1010224771 | Papulappa Adeppa | Papulappa | Sakunthalamma |
| 1010224772 | Narappa Gari Venkatesh | Narappa | Sakunthalamma |