| No. | Nama | Paraf |
|---|---|---|
| 1 | ISRO HANIYAH | |
| 2 | NUR AHMAD | |
| 3 | RULHAMIM | |
| 4 | RUWADI | |
| 5 | UNTUNG BAHTIAR | |
| 6 | ARIF ARIYADI | |
| 7 | HARIYANTO | |
| 8 | NASIKIN | |
| 9 | WALIYONO | |
| 10 | SARWADI | |
| 11 | UNTUNG | |
| 12 | SUSANA | |
| 13 | SAYUDI | |
| 14 | SINTIYAH | |
| 15 | NUR AENI | |
| 16 | DAHYONO | |
| 17 | DAHMI | |
| 18 | SUWIGNYO | |
| 19 | TURJONO | |
| 20 | PANDI WARIYONO | |
| 21 | SUYANTO | |
| 22 | SUJIYEM | |
| 23 | ADI PURNOMO | |
| 24 | SUPARMIN | |
| 25 | SUDIYANTO | |
| 26 | TUMARLAN | |
| 27 | SARMUDI | |
| 28 | SUMAR | |
| 29 | MUHSIRUN | |
| 30 | KLINEM | |
| 31 | ANTO SUSILO | |
| 32 | MARIYONO | |
| 33 | ZAENUDIN | |
| 34 | ZUNAIDI | |
| 35 | AHMAT FATONI | |
| 36 | RAMIDI | |
| 37 | SARMI | |
| 38 | KAMSARI | |
| 39 | SUPARMAN | |
| 40 | SOLIHIN | |
| 41 | NGAHADI | |
| 42 | HARYONO | |
| 43 | TUGIYANTO | |
| 44 | TUFINAH |