| No. | Nama | Paraf |
|---|---|---|
| 1 | KUNDORI SLAMET | |
| 2 | NOVIANA HIDAYAH | |
| 3 | ROHMAN | |
| 4 | LUKIYAH | |
| 5 | PONIRAH | |
| 6 | NUR UJIYANTO | |
| 7 | DUWI HANDAYANI | |
| 8 | WIDY RISTANTO | |
| 9 | YISMAWANTO | |
| 10 | FUADIN | |
| 11 | AKHMAD KHOERUL UMAM | |
| 12 | SUMARNI | |
| 13 | ISRONDI | |
| 14 | EHRUN | |
| 15 | HARYONO | |
| 16 | BUDIYONO | |
| 17 | SULISTYO | |
| 18 | TURSINI | |
| 19 | SAHID | |
| 20 | SUMADI | |
| 21 | URIP | |
| 22 | SARWATIN | |
| 23 | ARIMIN KUKUH | |
| 24 | HARTINI | |
| 25 | REDJEP PRAYITNO | |
| 26 | SUPARSIDI | |
| 27 | PAINTEN | |
| 28 | WAHYUDI | |
| 29 | ROCHMADI | |
| 30 | DADANG HARIYONO | |
| 31 | FATKHURROHIM | |
| 32 | RUMIKIR | |
| 33 | SABAR TRIYONO | |
| 34 | PRATIYONO | |
| 35 | FATKUR ROHIM | |
| 36 | MUKOZIN | |
| 37 | SUPRIYATNO | |
| 38 | MUTINI | |
| 39 | DAUD JUNI MAS RURI |