| No. | Nama | Paraf |
|---|---|---|
| 1 | SRI WIYATI | |
| 2 | MUHAMMAD SOLEH | |
| 3 | AFAN SAKTIAWAN | |
| 4 | SUWARNO | |
| 5 | LILIK ARIYANTO | |
| 6 | HARIYONO | |
| 7 | WIDO SULARSO | |
| 8 | TRI HANDOKO | |
| 9 | RUKIYAH | |
| 10 | SUNARDI | |
| 11 | TRI HANDOKO | |
| 12 | YATIMAH | |
| 13 | MATURIDI | |
| 14 | NURKARIM | |
| 15 | TARNO | |
| 16 | MISDI KADIR | |
| 17 | ASMONO | |
| 18 | SAMURI | |
| 19 | WAGINI | |
| 20 | SLAMET DARWITO | |
| 21 | PURWANTO | |
| 22 | SUTOPO | |
| 23 | SARIMIN | |
| 24 | MUJIMAN | |
| 25 | JAMARI | |
| 26 | MUARIFIN | |
| 27 | TRIMO | |
| 28 | ZAHID | |
| 29 | SOLICHIN | |
| 30 | MUJI MARKUAT | |
| 31 | CHANAFI | |
| 32 | MARIYADI | |
| 33 | SALAMAH | |
| 34 | SONI KURNIANTO | |
| 35 | SAMIJO | |
| 36 | HERY WIYONO | |
| 37 | JANUARI | |
| 38 | MUJIYONO | |
| 39 | SUHARTO | |
| 40 | SAMIDI | |
| 41 | SUKIRNO | |
| 42 | PUTUT WIYADI | |
| 43 | NYAMLIK | |
| 44 | SAIDAH | |
| 45 | ANDI WIDODO | |
| 46 | SYAFAATUN | |
| 47 | SUGITO | |
| 48 | AGUNG PRASETYO | |
| 49 | SLAMET SUBROTO | |
| 50 | AZIZ QOHARIN | |
| 51 | SUJARI |