| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010103853 | Divanam Chinnavengayya | Venkatanarasaiah | Keshamma |
| 1010103854 | Divanam Pencalanarasayya | Ramaiah | Rathanamma |
| 1010103855 | Divanam Penchalanarasayya | Chinnaiah | Renuka |
| 1010103857 | Divanapu Polaiah | Chinnaiah | Chennakrishnamma |
| 1010103858 | Mandala Chennakrishnnaiah | Chennaiah | Kondamma |
| 1010103859 | Mandala Keshavulu | Ramakesavulu | Kumari |
| 1010103860 | Mandala Tirupalu | Chennaiah | Narasamma |
| 1010103861 | Molatrati Prasad | Penchalaiah | Dhanalakshmi |
| 1010103862 | Narra Lakshmayya | Lakshmayya | Somamma |
| 1010103863 | Paturi Venkataratnam | Venkataiah | Ademma |