| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010226816 | Burre Buddappa Babu | Burreppa Raji | Chinnamma |
| 1010226817 | Govindappa Chandrappa | Govindappa | Saradamma |
| 1010226829 | Bapan Tirupathi | Bappan | Rajeswari |
| 1010226832 | Chennappa Kuppanna | Chinnayya | Kalemma |
| 1010226835 | Dekappa Shankar | Dekappa | Malliga |
| 1010226850 | Munaswamy Munaswamy | Buddappa | Rajamma |
| 1010226870 | Mude Lalu Naik | Abbu Naik | Sundaramma |
| 1010226888 | Bhukya Kuppa Naick | Ranganaik | Kaikamma |
| 1010226893 | Bhukya Raja Gopal | Anidiya Naik | Padma |
| 1010226906 | Bhukya Sairaj Naick | Jagana Naik | Bujjamma |
| 1010226907 | Bhukya Sekharnaick | Bodadh Naik | Padma |
| 1010226917 | Bookya Kuppu Swami Naik | Ravogenayak | Kamalamma |
| 1010226918 | Bookya Madhu Naik | Kuppanayak | Ammayamma |
| 1010226919 | Bookya Subramanyam Naik | Ravuji Naik | Kanakamma |
| 1010226920 | Bookya Sukoo Naik | Ranga Naik | Suseelamma |
| 1010226923 | Bukya Kamaraju Naik | Bavusenayak | Ramamurthinayak |
| 1010226925 | Bukya Sukkonayak | Ravuji Naik | Rajamma |
| 1010226926 | Mude Ravi Nayak | Champla Nayak | Rajati |
| 1010226927 | Champla Nayak Sairaj Nayak | Chapla Naik | Bujji |
| 1010226930 | Devala Naick Shankar Naick | Devala Naik | Malar |
|