| No. | Nama | Paraf |
|---|---|---|
| 1 | RUTIYAH | |
| 2 | LUKITO | |
| 3 | MUHKOZIN | |
| 4 | ARIYADI | |
| 5 | MUHAMMAD ABDUL BADI' | |
| 6 | SARINEM | |
| 7 | TOIFUL | |
| 8 | JUWARMI | |
| 9 | SUTIKNO | |
| 10 | SUPODO | |
| 11 | MARYAMTO | |
| 12 | MARGIYANTO | |
| 13 | WAHADI | |
| 14 | NARJO GISO | |
| 15 | GUNOYANTO | |
| 16 | DAHRI MAHENDRA | |
| 17 | SUHIRNO | |
| 18 | WARYONO | |
| 19 | SUJONO | |
| 20 | ROHAYIN | |
| 21 | SUDIRMAT | |
| 22 | SUGIYONO | |
| 23 | MUHAMAD SAEFUDIN ANNAS | |
| 24 | KOMARUDIN | |
| 25 | ARBI RUDADI | |
| 26 | YADI ABDUL GHANI | |
| 27 | SARBADI | |
| 28 | SURADI SURO | |
| 29 | ISTANTO | |
| 30 | TURYONO RAMBAT |