| No. | Nama | Paraf |
|---|---|---|
| 1 | ASLIMAH | |
| 2 | MARDI | |
| 3 | IRFAN KHOIRI | |
| 4 | ASHADI | |
| 5 | ADIB SUBHAN | |
| 6 | SUYITNI | |
| 7 | MUSIYATI | |
| 8 | MADIYO | |
| 9 | TAFLIKHUN | |
| 10 | FERDIAN PRABOWO | |
| 11 | DALMAN | |
| 12 | RIKI SETIAWAN | |
| 13 | AGUNG PRASTYO WIBOWO | |
| 14 | EDI STIYONO | |
| 15 | SLAMET RIYANTO | |
| 16 | SUNARYO | |
| 17 | TRIYANTO | |
| 18 | ROCHMI | |
| 19 | ZAENI | |
| 20 | SENI | |
| 21 | SUWAH | |
| 22 | RIDAH | |
| 23 | TRINEM | |
| 24 | SURATI | |
| 25 | SOLICHIN | |
| 26 | AHMADI | |
| 27 | ZAMRONI | |
| 28 | ISMAIL | |
| 29 | MUKADI | |
| 30 | JUMADI | |
| 31 | MUHAYIN | |
| 32 | SARTINI | |
| 33 | SUTRISNO | |
| 34 | MARYATUN | |
| 35 | SLAMET | |
| 36 | DAHROJI | |
| 37 | AMIN NASHRUDIN | |
| 38 | ISTADI | |
| 39 | TOYIB RAMLADI | |
| 40 | ASNAMI | |
| 41 | PINTA HUDAYA |