| No. | Nama | Paraf |
|---|---|---|
| 1 | PURWOTO | |
| 2 | NUR HAMID | |
| 3 | DINA RAHMAWATI | |
| 4 | MUSTOFA | |
| 5 | ZAZIN AHMADI | |
| 6 | MUANDZIM | |
| 7 | SURURI | |
| 8 | ROHANI | |
| 9 | ARIS MUBAROKAH | |
| 10 | JUWANDI | |
| 11 | MUHAMMAD | |
| 12 | MARYAM | |
| 13 | DUL KARIM | |
| 14 | BUSERO | |
| 15 | MARJONO | |
| 16 | SRI ROHAYATI | |
| 17 | YATNO | |
| 18 | MUHAEMI | |
| 19 | TUWALDI | |
| 20 | TUWAR | |
| 21 | IMRON | |
| 22 | DULMANAN | |
| 23 | SUPRIHANTO | |
| 24 | ZAHIDIN | |
| 25 | BOTOK | |
| 26 | MUHMAIL | |
| 27 | MUSLIHAH | |
| 28 | WARSONO | |
| 29 | MUNAWIR | |
| 30 | MAKSUD | |
| 31 | SAERI | |
| 32 | ROHMAN | |
| 33 | AMIN | |
| 34 | PARNO | |
| 35 | MANGSUR | |
| 36 | SUNGKONO | |
| 37 | SUKENI | |
| 38 | SUDARSONO | |
| 39 | KAMTO | |
| 40 | NUROHMAN | |
| 41 | SODIKIN | |
| 42 | AMIN WALUYO | |
| 43 | AHMAD SYUKUR | |
| 44 | AFIFUDIN | |
| 45 | SALAFUDIN | |
| 46 | AMIN SARODIN | |
| 47 | BAMBANG WALUYO | |
| 48 | SOBIDIN | |
| 49 | TURI | |
| 50 | SUYANTO | |
| 51 | SLAMET |