| No. | Nama | Paraf |
|---|---|---|
| 1 | SITI AMINAH | |
| 2 | SOLIHUN | |
| 3 | MUKARDI | |
| 4 | IWANTO | |
| 5 | SYAIFUL MUJAB | |
| 6 | JUMALI | |
| 7 | SURYADI | |
| 8 | SUYADI | |
| 9 | SUBRONTO | |
| 10 | ADINA HIDAYATI | |
| 11 | RUWAJI | |
| 12 | SARENGAT | |
| 13 | MAXPUL | |
| 14 | SUDI ROHMAT | |
| 15 | SARMUDI | |
| 16 | MUDALWANTO | |
| 17 | WASRONI | |
| 18 | NGATEMAN | |
| 19 | NGADIMAN | |
| 20 | ABU YAHMAN | |
| 21 | SAMIJAH | |
| 22 | MARYAMTO | |
| 23 | KARYONO | |
| 24 | MARIDAH | |
| 25 | SARTINAH | |
| 26 | SURATMAN | |
| 27 | DALWAJI | |
| 28 | SUDARNO | |
| 29 | ROMIDIYANTO | |
| 30 | JURI | |
| 31 | SUPANGAT | |
| 32 | MARIYATI | |
| 33 | RUBISAH | |
| 34 | MUIS YULIDINA | |
| 35 | MUSYAROFAH | |
| 36 | AFRIYANTO | |
| 37 | WAHYANI | |
| 38 | ROHADI | |
| 39 | SUKARNO | |
| 40 | DEVI WIRANDO | |
| 41 | ROHMAT SLAMET YAKIN | |
| 42 | KRISMANTO | |
| 43 | SARWILAH | |
| 44 | PONIMAN | |
| 45 | SLAMET |