| Application Number | Name of the Policy Holder | Father / Husband | Nominee |
| 1010227641 | Gantlappa Gari Jayappa | Gantlappa | Neelamma |
| 1010227642 | Muneppa | Muneppa | Neelavathi |
| 1010227643 | Subramanyam Vari Murugesh | Subramanyam | Kannamma |
| 1010227644 | Hanumappa Gari Sankarappa | Hanumappa | Gangamma |
| 1010227645 | Venkatappa Gari Subramanyam | Late Venkatappa | Sushpamma |
| 1010227646 | Muneppa Gari Varadarajulu | Muneppa | Narayanamma |
| 1010227647 | Gantlappa Gari Vemkateshu | Gantlappa | Sulochana |
| 1010227648 | Subbanna Gari Vemkateshu | Subbanna | Gouramma |
| 1010227649 | Dokalappa Krishnappa | Dokalappa | Jayamma |
| 1010227650 | Gamtlappa Shreeraamulu | Gantlappa | Gamgamma |
| 1010227651 | Pedda Vemkatappa Vemkatagirappa | Pedd Venkatappa | Naagamma |
| 1010227652 | Shamkarappa Murugesh | Sankarappa | Lakshmi |
| 1010227653 | Subbanna Baalakrishna | Subbanna | Gujjamma |
| 1010227654 | Vemkatamuneppa Muniratnam | Venkatamuneppa | Vallemma |