| No. | Nama | Paraf |
|---|---|---|
| 1 | SLAMET | |
| 2 | ACHMAD SHODIQIN | |
| 3 | MUSLIMIN | |
| 4 | PAMUNGKAS | |
| 5 | MANTO | |
| 6 | RIZAL IBNU FATUR | |
| 7 | SURIP | |
| 8 | TURYADI | |
| 9 | WAHIDUN | |
| 10 | M. ARIFIN | |
| 11 | RIADLOH ASRORI | |
| 12 | SLAMET | |
| 13 | FUAD HADI | |
| 14 | TUMARSONO | |
| 15 | TUWARNO | |
| 16 | SARYONO | |
| 17 | TAUFIK | |
| 18 | SUPRIYANTO | |
| 19 | MISKAM | |
| 20 | KALUNG | |
| 21 | ACHMAD | |
| 22 | MUHNI | |
| 23 | SLAMET | |
| 24 | SUGIYONO | |
| 25 | MISAR | |
| 26 | MUJIONO | |
| 27 | TOLIB | |
| 28 | DIBYO | |
| 29 | MUGIYONO | |
| 30 | MUZAKAH | |
| 31 | SUMARMO | |
| 32 | MISMI | |
| 33 | YUWONO | |
| 34 | SUTIKNO | |
| 35 | TOYO | |
| 36 | ANDRIYANTO | |
| 37 | SUMARI | |
| 38 | PONADI | |
| 39 | MAHMUD | |
| 40 | AL MUHSIN | |
| 41 | SLAMET | |
| 42 | MUSLIH SULAIMAN | |
| 43 | SUYETNO |