| No. | Nama | Paraf |
|---|---|---|
| 1 | MAHFUD | |
| 2 | BUDIYONO | |
| 3 | IYUS SAPUTRA | |
| 4 | PONIYEM | |
| 5 | WIDODO | |
| 6 | MARNI | |
| 7 | MUSABIRIN | |
| 8 | MIFTAKHU NASIKIN | |
| 9 | MISDI | |
| 10 | AZIZAH ARIANTI | |
| 11 | SURANI | |
| 12 | WASINEM | |
| 13 | SUNOTO | |
| 14 | NGATIJAN | |
| 15 | SUKARJAN | |
| 16 | SIYAMI | |
| 17 | SUBIYATNO | |
| 18 | KURDIYONO | |
| 19 | DIMIN | |
| 20 | WALUYO | |
| 21 | NGATEMIN | |
| 22 | LASINO | |
| 23 | SAMIN | |
| 24 | KARDI | |
| 25 | PAYAR | |
| 26 | LULUT KISTONO | |
| 27 | SUPARMAN | |
| 28 | SUMAR | |
| 29 | SURATNO | |
| 30 | WIRAK'I | |
| 31 | TUMADI | |
| 32 | TURYADI | |
| 33 | AHMAD KOSIM | |
| 34 | SAMAUN | |
| 35 | AMAT SODIKIN | |
| 36 | JARWADI | |
| 37 | SAMIDI |