| No. | Nama | Paraf |
|---|---|---|
| 1 | ROHANI | |
| 2 | SUTAMUN | |
| 3 | RODLINUR FATONI | |
| 4 | AMIN WALJITO | |
| 5 | MULYONO | |
| 6 | SOBIRIN | |
| 7 | SABARIYAH | |
| 8 | KHIRMAWANTO | |
| 9 | RODLINUN FATONI | |
| 10 | PURWANTI | |
| 11 | IWAN BUDI SENTOSA | |
| 12 | FADLI ROHMAN | |
| 13 | EKO ERNAWAN | |
| 14 | WAWAN TRIYONO | |
| 15 | SUGIYARTO | |
| 16 | NURYONO | |
| 17 | SLAMET MAFTUCHIN | |
| 18 | ANGGIA AYU TURROHMI | |
| 19 | PASRAH | |
| 20 | SUHUT | |
| 21 | ROJIIN | |
| 22 | IRSANTO | |
| 23 | WIDJEN | |
| 24 | SUTARMAN | |
| 25 | MUNZAENI | |
| 26 | MUHTAENI | |
| 27 | ISTIHAR | |
| 28 | SUIRWAH | |
| 29 | TABIYONO | |
| 30 | SUNIYATI | |
| 31 | DAHLAN | |
| 32 | SAPARMIN | |
| 33 | ROHMAT WIYONO | |
| 34 | WAHYUDI | |
| 35 | NANDIUN | |
| 36 | MUHBASIR | |
| 37 | BINTORO | |
| 38 | SUDIHARJO | |
| 39 | ASMUNI | |
| 40 | MISTINAH | |
| 41 | SUBITO | |
| 42 | KAMSINI | |
| 43 | TAMRONI | |
| 44 | SUPRIYADI | |
| 45 | ISTOHIR | |
| 46 | SOLIHUN | |
| 47 | WARDIYAH | |
| 48 | IMBUH BOTOK | |
| 49 | ANDI PRAYITNO | |
| 50 | MA'RUF SALAFUDIN |