| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 130304 | Ponnuswamy Patturaju | Ponnswamy | Rajamma |
| 172706 | Kannaiahgari Kanikkaraj | David Gari Kannaiah | Kanikkarajgari Pushpa |
| 172707 | Kannaiahgari Vasantha | Davidgari Kannaiah | Davidgari Kannaiah |
| 172718 | Jyothinayakamgari Aruldasu | Jyothinayakam | Aruldasugari Geetha |
| 1010217632 | C Anandan | Chinnabba | Manjula |
| 1010217633 | C Kathavarayan | Chinnabba | Vijaya |
| 1010217636 | J Rajakumar | Jayaraj | Kalpana |
| 1010217637 | J John Mosas | Jyothi Nayagam | Latha |
| 1010217639 | Y Jayaraj | Yeasurathnam | Ramila |