| No. | Nama | Paraf |
|---|---|---|
| 1 | PUJIYANI | |
| 2 | SARWONO | |
| 3 | SUTOYO | |
| 4 | TURUT | |
| 5 | HERI | |
| 6 | TITI RAHAYU | |
| 7 | SARTINAH | |
| 8 | MUYADI | |
| 9 | SARIYANTO | |
| 10 | SURATEMAN | |
| 11 | KLIDI | |
| 12 | ALIP | |
| 13 | PARMUDI | |
| 14 | MUKIJAN | |
| 15 | MUNTO'AT | |
| 16 | JUMALI | |
| 17 | NGADINI | |
| 18 | TARMONO | |
| 19 | RAMIDI | |
| 20 | SUNYOTO | |
| 21 | SUPARMIN | |
| 22 | SARWIDI | |
| 23 | SASTRO | |
| 24 | SRU'UL WIDIYANTO | |
| 25 | NASRONI | |
| 26 | SULAMAT | |
| 27 | SUMARLAN | |
| 28 | ARIS NDANDUNG | |
| 29 | GINAH | |
| 30 | TUGIYONO | |
| 31 | SUPARMAN | |
| 32 | MUKIMIN | |
| 33 | KLUPUT | |
| 34 | KLIYEM | |
| 35 | MUSTARI PAIDI | |
| 36 | RAMINI SUGENG | |
| 37 | NARYANTO | |
| 38 | YUSUF AL KARIM SLAMET | |
| 39 | TURUT | |
| 40 | MUYADI | |
| 41 | SALIM | |
| 42 | UNTUNG | |
| 43 | PUJOYONO | |
| 44 | PONIDI SLAMET | |
| 45 | BANDIYAH | |
| 46 | JERI MANTO FANI |