| No. | Nama | Paraf |
|---|---|---|
| 1 | YAHDOWIN | |
| 2 | H. .KHAIRUN | |
| 3 | TUGIYAT | |
| 4 | KASUAR | |
| 5 | YAKSIBUN | |
| 6 | RIBET | |
| 7 | SURATNO | |
| 8 | KOPRI | |
| 9 | WAKHOZIN | |
| 10 | SUGENG | |
| 11 | KHOTIFAH | |
| 12 | SLAMET | |
| 13 | UNTUNG SLAMET | |
| 14 | KAROMIN | |
| 15 | SUPRIYANTO | |
| 16 | ARIF SALAFUDIN | |
| 17 | SLAMET | |
| 18 | WAHYO | |
| 19 | GURIS JAUNAH | |
| 20 | MISERI | |
| 21 | EFI ZULFA | |
| 22 | KUWATNO | |
| 23 | KUNCORO | |
| 24 | JUWARI | |
| 25 | ANDRI WIBOWO | |
| 26 | TAMIL | |
| 27 | MARSINI | |
| 28 | SUTI | |
| 29 | MARIYAM | |
| 30 | SUROSO | |
| 31 | H. DULHADI | |
| 32 | MISLIKHUN | |
| 33 | KARTI | |
| 34 | ROBIKIN | |
| 35 | SONO | |
| 36 | SABARI | |
| 37 | MANIS | |
| 38 | YASMI | |
| 39 | WARNO | |
| 40 | SENIN | |
| 41 | KABUL H. | |
| 42 | TUHARMAN | |
| 43 | KAMARI | |
| 44 | SUKUR | |
| 45 | SARWITO | |
| 46 | RUKUN | |
| 47 | KAMIT | |
| 48 | MARFU'AH | |
| 49 | SLAMET | |
| 50 | ROM | |
| 51 | NARUH | |
| 52 | KAMI | |
| 53 | KARSUN | |
| 54 | TUMARI | |
| 55 | NARIYO | |
| 56 | AMIN ROHIMATIN | |
| 57 | KUWAT WALDIYONO | |
| 58 | MALI AHNAN | |
| 59 | MUFIANA | |
| 60 | SUTANTO | |
| 61 | SUTARNO | |
| 62 | RIYONO | |
| 63 | UNTUNG SLAMET | |
| 64 | SANTOSO | |
| 65 | MIFTAHUL | |
| 66 | SOHIM MUBAROK | |
| 67 | ZUNAERI | |
| 68 | SLAMET | |
| 69 | BANI TRIYANTO | |
| 70 | BAWON |