| No. | Nama | Paraf |
|---|---|---|
| 1 | PARDI | |
| 2 | JUMRONI | |
| 3 | JUMRONI | |
| 4 | TAUFIK | |
| 5 | SARWONO | |
| 6 | SUPARWANTO | |
| 7 | TRI SANTOSO | |
| 8 | IMBUH KUSNAN | |
| 9 | MUH NARDI | |
| 10 | SLAMET PURWANTO | |
| 11 | STYO WARNINGSIH | |
| 12 | SURADI | |
| 13 | SRI YUHARI | |
| 14 | MARMIN | |
| 15 | SUNITO | |
| 16 | SURAJI | |
| 17 | SLAMET | |
| 18 | WALUYO | |
| 19 | SLAMET WIDODO | |
| 20 | MARSUDI | |
| 21 | SUPRIYADI | |
| 22 | ISROFI | |
| 23 | ROMINAH | |
| 24 | SUKARDI | |
| 25 | MACHALI | |
| 26 | SUDARMAN | |
| 27 | DARNO | |
| 28 | MUBADIYAH | |
| 29 | SARDI | |
| 30 | SUMARIYAH | |
| 31 | NARIJAN |