| No. | Nama | Paraf |
|---|---|---|
| 1 | FIFI ARIFIYAN | |
| 2 | SUMADI | |
| 3 | ROKHMAT MAULUT | |
| 4 | TUWAHMI | |
| 5 | SARYUDI | |
| 6 | MARLIYAH | |
| 7 | AHMAD ROUF | |
| 8 | RUSMI | |
| 9 | SUDAKIR | |
| 10 | SURAHMADI | |
| 11 | SURIBAH | |
| 12 | MUKHOTIB | |
| 13 | MUH KHAERUDIN | |
| 14 | AGUS WICAKSONO | |
| 15 | ELIYATUN | |
| 16 | A'AN PRIYATNO | |
| 17 | MAT TOYIN | |
| 18 | RUSIDI | |
| 19 | SUMANTO | |
| 20 | MISRONI | |
| 21 | SUWARNO | |
| 22 | SUKIMUN | |
| 23 | ISTORI | |
| 24 | NATIM | |
| 25 | DIYONO | |
| 26 | JINI | |
| 27 | WADI | |
| 28 | MUHLISIN | |
| 29 | KHIRZUDIN | |
| 30 | DJEMU MUSAID | |
| 31 | AMAT SUJARNO | |
| 32 | WINARTO | |
| 33 | SABAR | |
| 34 | SLAMET | |
| 35 | SUGIYANTO | |
| 36 | MULUD | |
| 37 | SITI CHOERIYAH | |
| 38 | MUH SAYUDI | |
| 39 | MUHYONO | |
| 40 | RIRIN BUDIYANTO | |
| 41 | SURADI | |
| 42 | JUMADI | |
| 43 | MINEM | |
| 44 | MURYANTO | |
| 45 | TOLAENI | |
| 46 | BUCHORI | |
| 47 | MUDIYONO | |
| 48 | SUDARMAJI | |
| 49 | MISDI | |
| 50 | ERMAWAN | |
| 51 | TASRONI | |
| 52 | TAMIYIS | |
| 53 | WAGIYANTO | |
| 54 | JUHAENI | |
| 55 | ALIANSYAH | |
| 56 | ABDUL MANAN | |
| 57 | MISTINAH | |
| 58 | GIYANTO | |
| 59 | ILMAN AZAENI | |
| 60 | AFI YUNI MUNASIFAH | |
| 61 | LILIS HARIYATI |