| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 126809 | Manakappagari Thimmaraju | Manakappa | Bhagyamma |
| 126817 | Sadappagari Hamsagiri | Sadappa | Papamma |
| 126823 | Veerabadrappagaei Shanmugam | Verabadrappa | Prema |
| 1010228111 | K Mondeppa | Kureshappa | Munirathanamma |
| 1010228112 | T Timmappa | Timmappa | Munemma |
| 1010228113 | D Veerabadhrappa | V | Lokamma |
| 1010228114 | G Narayanappa | Gangappa | Venkatamma |
| 1010228115 | Ko Thimmappa | Berappa | Mangamma |
| 1010228117 | M Keerappa | Pedda Keerappa | Devamma |
| 1010228118 | S Manthappa | Manakappa | Mangamma |