| No. | Nama | Paraf |
|---|---|---|
| 1 | MUNTAHA | |
| 2 | LAILATUL MUKAROMAH | |
| 3 | DIDIK PURWANTO | |
| 4 | ANDIYANTO | |
| 5 | SLAMET SURATMAN | |
| 6 | SARMONO | |
| 7 | MURYANTO | |
| 8 | SLAMET SUDIRJO | |
| 9 | SLAMET VERI | |
| 10 | MUDIYONO | |
| 11 | SUJINAH | |
| 12 | HERI PURWANTO | |
| 13 | DWI HARYANTO | |
| 14 | YUSUF SUSILO | |
| 15 | KIRYADI | |
| 16 | RUMADI | |
| 17 | PODO PUJI SLAMET | |
| 18 | RESI | |
| 19 | SARYONO | |
| 20 | SUKOYO | |
| 21 | DARMAN | |
| 22 | SUHARNO | |
| 23 | TUKIMAN | |
| 24 | SUJATI | |
| 25 | RUKISNU | |
| 26 | WAHONO | |
| 27 | KARTOMO | |
| 28 | SUTARNO | |
| 29 | RUKIMIN | |
| 30 | PARIYOTO | |
| 31 | TARWIYO | |
| 32 | MUKAYAT | |
| 33 | DAHONO | |
| 34 | PRAWOTO | |
| 35 | SUPARNO | |
| 36 | KURDIYONO | |
| 37 | SURIPTO | |
| 38 | TRI SUYATIN | |
| 39 | SARNO | |
| 40 | SUWIDAH | |
| 41 | SARIYONO | |
| 42 | SLAMET SANTOSO | |
| 43 | SUARJO | |
| 44 | SUWIGNYO | |
| 45 | SURYONO | |
| 46 | SARENG LISTIYO | |
| 47 | SUKIR | |
| 48 | SUKARTO | |
| 49 | UNTORO | |
| 50 | SURONO | |
| 51 | SLAMET URIP | |
| 52 | SURIPTO | |
| 53 | MAT ROPIN | |
| 54 | ENDRO SARJITO | |
| 55 | NESTYAH BUDI LESTARI | |
| 56 | WAHYU PUJIYANTO | |
| 57 | ANNAS MUSYAFA' | |
| 58 | YULI SETIAWAN | |
| 59 | DANURI | |
| 60 | JUWARIYAH | |
| 61 | SITI FATIMAH | |
| 62 | HADI SUPRAPTO | |
| 63 | SUTRISNO | |
| 64 | SARWATI |