| No. | Nama | Paraf |
|---|---|---|
| 1 | MARIYANI | |
| 2 | DWI KRISTANTO | |
| 3 | MARSILAH | |
| 4 | JUNIYAH | |
| 5 | ROHMI | |
| 6 | ARSAD HERMAWAN | |
| 7 | UNTUNG SANTOSO | |
| 8 | NASRODIN | |
| 9 | EKO PUJIANTO | |
| 10 | TIYEM | |
| 11 | YATIMAN | |
| 12 | WASITO | |
| 13 | MUHYIDIN | |
| 14 | RIYANTO | |
| 15 | UMAR | |
| 16 | PRAYITNO | |
| 17 | RUSIDI | |
| 18 | MUHTAROM | |
| 19 | TARJO | |
| 20 | BAMBANG PRAYITNO | |
| 21 | MUHADI | |
| 22 | SOLIKHIN | |
| 23 | WALDI | |
| 24 | SARJANI | |
| 25 | TAAT BUDI RAHAYU | |
| 26 | SAPARMI | |
| 27 | SUROSO | |
| 28 | NGATIMAN | |
| 29 | MUHLASIN | |
| 30 | DANANG KUSMIYANTO | |
| 31 | ROBERTUS SURAMIN | |
| 32 | WAKIDI | |
| 33 | MUH SATIRI | |
| 34 | TRI HANTOYO | |
| 35 | RISTIYONO |