| No. | Nama | Paraf |
|---|---|---|
| 1 | FATUL ROHMAN | |
| 2 | SARWADI | |
| 3 | MUNYAROH | |
| 4 | SUHARI | |
| 5 | NURSIDI | |
| 6 | TENGKAT | |
| 7 | SOLEH | |
| 8 | TEGUH RAHAYU | |
| 9 | NAILAL MUROD | |
| 10 | SUWARIYAH | |
| 11 | ASIYAH | |
| 12 | MUHYIDIN | |
| 13 | PARNO | |
| 14 | SRI MUNTOPIAH | |
| 15 | SAYIDI | |
| 16 | SARYANTO | |
| 17 | DUMERI | |
| 18 | MUHTAROM | |
| 19 | BOTHOK PARDI | |
| 20 | BOTHOK SUJADI | |
| 21 | SASTRO MIHARJO | |
| 22 | MUJIYONO | |
| 23 | PRAYITNO | |
| 24 | SULAMI | |
| 25 | MARWAH | |
| 26 | MUSTAJAB | |
| 27 | ISARI | |
| 28 | ANDAR SETYO WIHANAN | |
| 29 | ALBASIRUN | |
| 30 | ROHANTO | |
| 31 | SUSANTO | |
| 32 | NUR SOKHIP | |
| 33 | INDASAH |