| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 216904 | Palaparthi Venkateswara Rao | Nandhiyya | Adi Lakshmi |
| 216914 | Menda Soury | Bala Swamy | Jamayamma |
| 216916 | Lankipalli Thamas | Jogippa | Marthamma |
| 216921 | Guduru Yebelu | Jaan | Samadanam |
| 216924 | Arja Satyanarayana | Sankaram | Joslin |
| 216929 | Pulugu Siluva Raju | Elisha Rao | Sunitha |
| 516432 | Nimmagadda Yastaramma | Babu Rao | Babu Rao |
| 3803724 | Chilli Kondayya | Ramanjaneyulu | Rangamma |
| 3803725 | Ravuri Yasu Babu | Swami Dasu | Vekamma |
| 3803729 | Galanki Nagwswararao | Veraya | Jyothi |