| No. | Nama | Paraf |
|---|---|---|
| 1 | MUKHAMAD TOFIF | |
| 2 | SARUNTI | |
| 3 | WAHRIKIN | |
| 4 | BUDI HARJONO | |
| 5 | ARDI CANDRA PREMANA | |
| 6 | SITI KARSIDAH | |
| 7 | SAFI'I | |
| 8 | AKHMAT KHABIB | |
| 9 | WAHIT RESTIAWAN | |
| 10 | BADAWI | |
| 11 | BUDI SLAMET | |
| 12 | RANDI | |
| 13 | SUPRATIYO | |
| 14 | AGUS SUBAGYA | |
| 15 | SRI WALUYO AL MUHARDI | |
| 16 | DARONI | |
| 17 | SUPRAMONO | |
| 18 | SUWANDI | |
| 19 | SUWITO | |
| 20 | MUYANTO | |
| 21 | SUDARYANTO | |
| 22 | SUPRIHATIN | |
| 23 | SUPARINO | |
| 24 | SUGENG | |
| 25 | HADI PRAYITNO | |
| 26 | PURWANTO | |
| 27 | MUH WALIDI | |
| 28 | REJANI | |
| 29 | MARSONO | |
| 30 | NURWIDAYAT | |
| 31 | SUMARMI | |
| 32 | MIYONO | |
| 33 | YAMIDI | |
| 34 | WIYOTO | |
| 35 | TARONO | |
| 36 | SUKARNI | |
| 37 | HETI ROHAETI | |
| 38 | MARNAN | |
| 39 | ZUNTAKIN | |
| 40 | MUJI KUWAT | |
| 41 | SUDAHMAN | |
| 42 | IIS SARIYATI | |
| 43 | ARIF NURDIYANTO | |
| 44 | SARDIYANTO | |
| 45 | SUROSO |