| No. | Nama | Paraf |
|---|---|---|
| 1 | WALIADI | |
| 2 | MUSADI | |
| 3 | GIDHION ERYANTO | |
| 4 | RETI | |
| 5 | MUTROFIN | |
| 6 | GUNAWAN | |
| 7 | WALDIYONO | |
| 8 | SULIMAN | |
| 9 | MOKLAS KASAN BASRI | |
| 10 | LEGIMANTO | |
| 11 | PARIYANTO | |
| 12 | MUJIYATNO | |
| 13 | SUTRISNO | |
| 14 | MAULUDIN | |
| 15 | ARI KADIYOK MARDIYANI | |
| 16 | AMIN | |
| 17 | TUGI | |
| 18 | ROHMAN | |
| 19 | BEJO | |
| 20 | SAMSUDIN | |
| 21 | PONIMIN | |
| 22 | DASMAN BORO | |
| 23 | KASWADI | |
| 24 | RUWANTO | |
| 25 | MARIYONO | |
| 26 | MULYANTO | |
| 27 | SUCIPTO | |
| 28 | DARMAN | |
| 29 | SUNANGIM | |
| 30 | SUWALMAN | |
| 31 | NUR SODIK | |
| 32 | KABUL ROHMAT | |
| 33 | MUAH MADI | |
| 34 | AGUS WAHYUDI | |
| 35 | MUHTAMIN | |
| 36 | NURFAIZIN | |
| 37 | SUTRI | |
| 38 | WASONO | |
| 39 | SUHERMAN | |
| 40 | SABAR | |
| 41 | SUYANTO |