| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010117013 | Dontala Prasad | Penchalaiah | Chandrakala |
| 1010117014 | Dontala Sheshaiah | Ramanaiah | Ramanamma |
| 1010117015 | Gangapatnam Chinnaiah | Pedda Chinnaiah | Padmamma |
| 1010117016 | Gorriparti China Penchalaiah | Ramanaiah | Bujjamma |
| 1010117017 | Gorriparti Peda Penchalaiah | Penchalaih | Penchalamma |
| 1010117018 | Gorriparti Ramesh | Rangaiah | Lakshmi |
| 1010117019 | Kollakadi Penchalaiah | Pedda Penchalaih | Suseelamma |
| 1010117020 | Kollakadi Seenaiah | Chenchaiah | Subhasini |
| 1010117021 | Koonipogu Penchalaiah | Venkat Subbaiah | Bujjamma |
| 1010117022 | Koonipogu Seenaiah | Raamanaiah | Sumati |
| 1010117023 | Lanka Polaiah | Pedda Polaiah | Rajani |
| 1010117024 | Mutture Chandrasekhar | Venkateswarlu | Penchalakshamma |
| 1010117025 | Poondla China Penchalaiah | Penchalaiah | Ramanamma |
| 1010117026 | Pundla Peda Penchalaiah | Penchalaiah | Lakshamma |
| 1010117027 | Varnam Narasimharao | Gangaiah | Sarasamma |
| 1010117028 | Varnam Rajaiah | Ankaiah | Penchalamma |
| 1010117029 | Avula Penchala Narasaiah | Narasaiah | Padmamma |
| 1010117030 | Palakeerthi Venkata Swami | Lakshmaiah | Anjamma |
| 1010117031 | Palakeerthi Venkataiah | Penchalaiah | Tirupalamma |