| No. | Nama | Paraf |
|---|---|---|
| 1 | DARSIH | |
| 2 | AHMAD SHOFFATURROHMAN WAHID | |
| 3 | YUSUF | |
| 4 | A. F. MU'ADIN | |
| 5 | MARTININGSIH | |
| 6 | MARSUDI TEGUH | |
| 7 | KURNIAWAN | |
| 8 | SUGENG | |
| 9 | AZIS | |
| 10 | ROHMAT SANTOSO | |
| 11 | ADI PURWANTO | |
| 12 | SUSTIANTO | |
| 13 | SURURI | |
| 14 | MULYONO | |
| 15 | SUKARTO | |
| 16 | SARMINAH | |
| 17 | WAKHILAH | |
| 18 | SARIYONO | |
| 19 | HUDI WAHYONO | |
| 20 | MUTRIYAH | |
| 21 | DASUKI | |
| 22 | WAKHID | |
| 23 | MULADI | |
| 24 | MUHSIN | |
| 25 | SARMIN | |
| 26 | SUTRIYANI | |
| 27 | WAJIB | |
| 28 | M. ASHARI SUPARJO | |
| 29 | SAPARDI | |
| 30 | MARSITOTIJO | |
| 31 | KHAERUDIN | |
| 32 | MUKHOZIN | |
| 33 | MARJUDI | |
| 34 | SUMARTO | |
| 35 | SUHARIYONO | |
| 36 | RIDWAN | |
| 37 | MUBAYINAH | |
| 38 | WATORO | |
| 39 | FAJAR RAINO | |
| 40 | PRIYANTO | |
| 41 | RUMBAKA | |
| 42 | DUL SUKUR | |
| 43 | MUHAMMAD ALBASHORI | |
| 44 | HADI WALUYO | |
| 45 | MUDIYONO | |
| 46 | PURJITO | |
| 47 | IKHSAN MAGHRUB | |
| 48 | SUGENG RIYADI | |
| 49 | SURATMAN | |
| 50 | SUDIYONO | |
| 51 | ISRO'I |