| No. | Nama | Paraf |
|---|---|---|
| 1 | NUR NGALIYAH | |
| 2 | PURWANTO | |
| 3 | YAMUJI | |
| 4 | SHODIKIN | |
| 5 | PITOYO | |
| 6 | AFIS SETIAWAN | |
| 7 | ANTONI | |
| 8 | RUSINI | |
| 9 | MARATUN SOLIHAH | |
| 10 | RIKI ERNAWAN | |
| 11 | SITI WASIROH | |
| 12 | NGATIRAH | |
| 13 | RAHMAT SANTOSO | |
| 14 | HARIYANTO | |
| 15 | WALYUDI | |
| 16 | YAMUJI | |
| 17 | SUKIDI | |
| 18 | WALSOYO | |
| 19 | JUMADI | |
| 20 | RUWADI | |
| 21 | PARMI | |
| 22 | BAWON | |
| 23 | KASNI | |
| 24 | SARNO | |
| 25 | PAIJEM | |
| 26 | JUMARI | |
| 27 | RAMIJO | |
| 28 | SUPRAPTO | |
| 29 | BAMBANG ABDUL AZIZ | |
| 30 | WALSIDI | |
| 31 | PITOYO | |
| 32 | SUWIJAN | |
| 33 | RUJIYEM | |
| 34 | WALDIYONO | |
| 35 | SUPIYAH | |
| 36 | TUKIMIN | |
| 37 | RUJITO | |
| 38 | MUKHOZIN | |
| 39 | SUNARDI | |
| 40 | JAZIMAH | |
| 41 | RIYANTO | |
| 42 | MUHLASIN | |
| 43 | WAGIMAN | |
| 44 | AHMAD FAIZUN | |
| 45 | JUMALI | |
| 46 | RIYANTO | |
| 47 | PARIYONO | |
| 48 | MISYANTO | |
| 49 | FATCHUL ROHMAN | |
| 50 | PARYUDI | |
| 51 | KUSMAN | |
| 52 | WAHYUDI | |
| 53 | YASIN | |
| 54 | SURADI |