| No. | Nama | Paraf |
|---|---|---|
| 1 | SITI CHOLIFAH | |
| 2 | SLAMET | |
| 3 | SLAMET MARWANTO | |
| 4 | NURROHMAD | |
| 5 | KABUL MASLANI | |
| 6 | CAHYO RIBOWO | |
| 7 | WAGI | |
| 8 | BUDIYANTI | |
| 9 | MARHATUN | |
| 10 | SURYONO | |
| 11 | SLAMET PRAYOGO | |
| 12 | MUHAMMAD SAIFUL HUDA | |
| 13 | SITI CHOLIFAH | |
| 14 | WIDIYAT | |
| 15 | SUWADI | |
| 16 | ALVIANTO | |
| 17 | MUADI | |
| 18 | SURADI | |
| 19 | SUNARDI | |
| 20 | MUSTAQIM | |
| 21 | HARNO | |
| 22 | SUTARTO | |
| 23 | SUTRASMI | |
| 24 | SURADI | |
| 25 | MARTINI | |
| 26 | JUMADI | |
| 27 | ISTOYO | |
| 28 | SUDIYONO | |
| 29 | MUH HASIM | |
| 30 | PARLIYAH | |
| 31 | SARDINI | |
| 32 | TUROHMAN | |
| 33 | HARYANTO | |
| 34 | YAINAL CAHYO FAIRUL | |
| 35 | SAFIIN | |
| 36 | HARIYONO | |
| 37 | TUROHMAT | |
| 38 | SUWANTO | |
| 39 | WAHIDIN | |
| 40 | ROYANI | |
| 41 | MUJI | |
| 42 | JUMARDI | |
| 43 | SUHADI | |
| 44 | WAHIDIN |