| No. | Nama | Paraf |
|---|---|---|
| 1 | NDARIS | |
| 2 | MUSOFIN | |
| 3 | PARNI | |
| 4 | JUMINTEN | |
| 5 | KOMSIYATI | |
| 6 | ISROFI | |
| 7 | SUJAR | |
| 8 | SAHLAN | |
| 9 | NASIKUN | |
| 10 | MUNTOHIR | |
| 11 | MARIYADI | |
| 12 | ABDUL WAHIB | |
| 13 | AMINUDIN | |
| 14 | PONIDI | |
| 15 | KHOYEM | |
| 16 | SOIM | |
| 17 | JUMANTORO | |
| 18 | MUNASIH | |
| 19 | KARMI | |
| 20 | RUKINI | |
| 21 | BOTOK | |
| 22 | MUHAMAD MAHSUN | |
| 23 | AMAT BASIR | |
| 24 | WALSIYAH | |
| 25 | NASIKUN | |
| 26 | NANANG SUBAGYO | |
| 27 | SUTRISNO | |
| 28 | MAHRODIN | |
| 29 | NUR WADIYANTO | |
| 30 | SUROTO | |
| 31 | SULISTIYO | |
| 32 | SABAR | |
| 33 | ARIS SOBIKHIN | |
| 34 | SARMUDI | |
| 35 | DANIEL SETYONO | |
| 36 | SOLICHUN |