| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010158787 | Kommu Gangulappa | Ramappa | Narasamma |
| 1010158789 | Palaka Bayanna | Marappa | Ramanamma |
| 1010158792 | Palaka Sankara | Venkatarayappa | Lakshmidevi |
| 1010158793 | Palaka Vemanna | Venkatarayappa | Ramanamma |
| 1010158794 | Palaka Venkatramana | Venkataramana | Ramakka |
| 1010158797 | Peddaramannagari Ravanappa | Chodappa | Ravanamma |
| 1010158801 | Gangulappa | Gamgulappa | Kondamma |
| 1010158804 | Mekala Venkatramana | Ganganna | Venkatasubbu |
| 1010158805 | Palaka Erraganganna | Pilanna | Gouramma |
| 1010158806 | Palaka Narasimhulu | Venkatarayappa | Raamalakhmi |