| No. | Nama | Paraf |
|---|---|---|
| 1 | RIKI NUGROHO | |
| 2 | YAHYA | |
| 3 | ERIYANTO | |
| 4 | ZULFATUL ANAM | |
| 5 | KABUL TRIYONO | |
| 6 | MUSLIKHIN | |
| 7 | DAHRI | |
| 8 | SUGIYANTO | |
| 9 | MA'ARIF | |
| 10 | WALYANTO | |
| 11 | FARIYATUL KHASANAH | |
| 12 | MISTIYANTO | |
| 13 | ROBANI | |
| 14 | SAKRONI | |
| 15 | SLAMET KUKUH | |
| 16 | RIBUT T. | |
| 17 | WALDIYONO | |
| 18 | SARMADI | |
| 19 | PURWANTO | |
| 20 | FITANTRI | |
| 21 | TRIYONO | |
| 22 | WARSITO | |
| 23 | SUWARJAN | |
| 24 | MUH SINUN | |
| 25 | SUPARDI | |
| 26 | SUMIDI | |
| 27 | SARMIDI | |
| 28 | ROSIDI | |
| 29 | WALADI | |
| 30 | SARONI | |
| 31 | KASMAN | |
| 32 | RUWADI | |
| 33 | WALDI | |
| 34 | JUWAHIR | |
| 35 | TARYONO | |
| 36 | BUDIYONO | |
| 37 | ROHMAT | |
| 38 | SUPARI | |
| 39 | TUMI | |
| 40 | SISRO | |
| 41 | MUHROJI | |
| 42 | SARMO | |
| 43 | PARDI | |
| 44 | SALIM | |
| 45 | NARDI | |
| 46 | SABAR | |
| 47 | RUWADI | |
| 48 | YAMUJI | |
| 49 | SURAMIN | |
| 50 | MUSTANIR | |
| 51 | SLAMET WIYONO | |
| 52 | TOTO | |
| 53 | MUKADAR | |
| 54 | SUYITNO | |
| 55 | BUNARI | |
| 56 | SAWADI | |
| 57 | NGADI | |
| 58 | M. ABDUR ROKHIM |