| No. | Nama | Paraf |
|---|---|---|
| 1 | ARIYANTO | |
| 2 | NUR CHOLIFAH | |
| 3 | MUJIYONO | |
| 4 | SUYUDI | |
| 5 | FATIMAH | |
| 6 | SUGIANTO | |
| 7 | GATI | |
| 8 | SURATI | |
| 9 | SURAHMAN | |
| 10 | JOYO TIMBUL | |
| 11 | AMAT SAPUWAN | |
| 12 | ISMAIL | |
| 13 | JUMALI | |
| 14 | JUMARNO | |
| 15 | SUMARDI | |
| 16 | SULAMAT | |
| 17 | ARIYONO | |
| 18 | H.SARJONO | |
| 19 | PONIRAH | |
| 20 | AHMAD SUPRIYADI | |
| 21 | MUSTAKIM | |
| 22 | SUMIYATI | |
| 23 | SULAMI | |
| 24 | MUCHLASIN | |
| 25 | SUTARJO | |
| 26 | MULYADI | |
| 27 | SURYONO | |
| 28 | UNWANNULLOH | |
| 29 | SUN HAJI | |
| 30 | NAWAWI | |
| 31 | SARWANDI | |
| 32 | DANDUNG SUCAHYO | |
| 33 | SISJANTO | |
| 34 | SUJIYATMOKO | |
| 35 | WARSONO | |
| 36 | MABAR ZIDHA NIAM |