| No. | Nama | Paraf |
|---|---|---|
| 1 | GURIS | |
| 2 | MUSTAKIM | |
| 3 | NUR HOLIDIN | |
| 4 | NOAH | |
| 5 | NUR MUTAKIM | |
| 6 | SUGENG | |
| 7 | TEGUH | |
| 8 | NARUH | |
| 9 | SRI WAHYUNI | |
| 10 | MAHFUT | |
| 11 | MUNARI | |
| 12 | MISBAHUL | |
| 13 | MUHITUN | |
| 14 | NGAHATUN | |
| 15 | ACHMAD | |
| 16 | MUSARI | |
| 17 | SLAMET PANUT MUHTADUN | |
| 18 | KASIM | |
| 19 | MUSOLI | |
| 20 | SARI | |
| 21 | TURI | |
| 22 | ROHADI | |
| 23 | RIYANTO | |
| 24 | URIP | |
| 25 | MISRI | |
| 26 | MISROM | |
| 27 | SARMUJI | |
| 28 | SLAMET NGAHATUN | |
| 29 | TURI | |
| 30 | SODIKIN | |
| 31 | MUJI | |
| 32 | JUNADI | |
| 33 | SAID EFENDI | |
| 34 | MISKAM | |
| 35 | RIBUT | |
| 36 | MUHAYA | |
| 37 | HOMSUN | |
| 38 | ALIFUN | |
| 39 | RIDWAN | |
| 40 | KOTIK | |
| 41 | SOPIYAH | |
| 42 | ABIDIN | |
| 43 | NURSALIM | |
| 44 | WAHDIN | |
| 45 | PAIKEM | |
| 46 | SLAMET SUKUR | |
| 47 | MUNJANI | |
| 48 | SUNGKONO | |
| 49 | RULAENI | |
| 50 | MAS' UDI | |
| 51 | ISTOYO |