| No. | Nama | Paraf |
|---|---|---|
| 1 | MUH SRIYONO | |
| 2 | NGAPIYAH | |
| 3 | AKHMAD KIRMAN | |
| 4 | ANANG ASMORO | |
| 5 | ZUMIYAH | |
| 6 | NUR HAMDI | |
| 7 | WARDIYONO | |
| 8 | SUMINTO | |
| 9 | NGESTI AGUS RUWIYANTO | |
| 10 | HARSONO | |
| 11 | SUMARTINAH | |
| 12 | SISDIYONO | |
| 13 | SURAJI | |
| 14 | MUHAMMAD MARSII | |
| 15 | MUGIYANTO | |
| 16 | SUJILAH | |
| 17 | RAHARJO | |
| 18 | SUYITNO | |
| 19 | AHMAD | |
| 20 | CHOLIMAH | |
| 21 | DURMAN | |
| 22 | JUWADI | |
| 23 | ICHWADI | |
| 24 | MACHRUS | |
| 25 | SISWADI | |
| 26 | MUJI KATARIMAH | |
| 27 | MUHAMMAD SOFYAN |