| No. | Nama | Paraf |
|---|---|---|
| 1 | MAD MUNAWAR | |
| 2 | NGUDIYONO | |
| 3 | WALIYADI | |
| 4 | ZAENAL MA'ARIF | |
| 5 | SUSANTO | |
| 6 | ZAENAB | |
| 7 | WARMIN | |
| 8 | ROEKHAN | |
| 9 | SLAMET SAIR | |
| 10 | MUHAMMAD FATAWI | |
| 11 | SAMSUDIN | |
| 12 | WAGINI | |
| 13 | HERI MUJIYANTO | |
| 14 | ROEKHAN | |
| 15 | ASMUDI | |
| 16 | WARIYADI | |
| 17 | RIDLWAN | |
| 18 | ZAHRI | |
| 19 | MUHYAR | |
| 20 | MAT MUNAWAR | |
| 21 | SARMIN | |
| 22 | KABUL MULYANTO | |
| 23 | WASIONO | |
| 24 | FAHRODIN | |
| 25 | DJUMADI | |
| 26 | WAHONO | |
| 27 | NGABDI | |
| 28 | TAMYIS | |
| 29 | YUSRO | |
| 30 | SAHLI BAEHAQI | |
| 31 | SAKRONI | |
| 32 | ASNGADI | |
| 33 | MARDI | |
| 34 | MUHRONI | |
| 35 | KIRWANDI | |
| 36 | ASNGARI | |
| 37 | TASLIMAH | |
| 38 | SUWANTO | |
| 39 | NUR AFANDI | |
| 40 | ROBANI | |
| 41 | KAMILAN | |
| 42 | LEHYATUN | |
| 43 | NUR SAFI'I | |
| 44 | SALBIYAH | |
| 45 | UMATUL KHOIRIYAH | |
| 46 | KHOERUN |