| No. | Nama | Paraf |
|---|---|---|
| 1 | WAHONO | |
| 2 | WARIDIN | |
| 3 | ADAM WIJAYA | |
| 4 | IUS MARDIYONO | |
| 5 | AHMAD GHOZALI | |
| 6 | KONIYAH | |
| 7 | MUHYIDIN | |
| 8 | AFANDI | |
| 9 | SASTRO TULUS | |
| 10 | DAROJI | |
| 11 | ILHARI | |
| 12 | WALIYANTO | |
| 13 | SIYAMIN | |
| 14 | MUSTOFA | |
| 15 | RUMIDAH | |
| 16 | KHAYUN JAUHARI | |
| 17 | SUYUSDI | |
| 18 | TAMYIS | |
| 19 | SUPRI | |
| 20 | MUSALIM | |
| 21 | SUHARDI | |
| 22 | SUTARLAN | |
| 23 | SURAMI | |
| 24 | AMIN MA'ARIF | |
| 25 | MUNJINAL | |
| 26 | HARYONO | |
| 27 | MUHLASIN | |
| 28 | MUHASIM | |
| 29 | NUR AZIZ | |
| 30 | SUPADI | |
| 31 | KHAMDIYAH | |
| 32 | SURTI |