| No. | Nama | Paraf |
|---|---|---|
| 1 | SUDJIONO | |
| 2 | MUHTADI | |
| 3 | ROSIDIN ABDUL LATIF | |
| 4 | NURKOLIS | |
| 5 | RIYATNO | |
| 6 | KASTOLANI | |
| 7 | NURKHAFID | |
| 8 | TOYIB SUTRISNO | |
| 9 | NGADIRAN | |
| 10 | SLAMET | |
| 11 | ZAENAL ARIFIN | |
| 12 | WELAS ASIH | |
| 13 | ASIAH | |
| 14 | NURROHMAN | |
| 15 | MARWIYAH | |
| 16 | KHAMIDUN | |
| 17 | AGUNG PRIRAHARJO | |
| 18 | ASRORI | |
| 19 | NASIKIN | |
| 20 | MAHMUDI | |
| 21 | SARWADI | |
| 22 | FATONI | |
| 23 | NASRODIN | |
| 24 | MUH KOYIN | |
| 25 | MIFTAKHODIN | |
| 26 | MARSINAH | |
| 27 | ZAENUDIN | |
| 28 | SLAMET MUJIYONO | |
| 29 | KAMINAH | |
| 30 | MULYONO | |
| 31 | MUKMIN | |
| 32 | KUSEN | |
| 33 | KASBUN | |
| 34 | MUFID | |
| 35 | KAMILIN | |
| 36 | SUPANDI | |
| 37 | MUHAMAD | |
| 38 | MUSYAFAK | |
| 39 | KOSIYAH | |
| 40 | RURY APRININGSIH | |
| 41 | LARDI | |
| 42 | RIYANTO | |
| 43 | NUR HIDAYAH | |
| 44 | SOBIKHUL KHOER |