| No. | Nama | Paraf |
|---|---|---|
| 1 | LILIK MUSTAKIM | |
| 2 | SUTIRAH | |
| 3 | MUHAMAT INDARTO | |
| 4 | KATIMAH | |
| 5 | ANIS JOKO TRIYANTO | |
| 6 | ROMANDI | |
| 7 | SUTIYONO | |
| 8 | DWI SETIYAWAN | |
| 9 | EKO HARTOYO | |
| 10 | SOVIAH | |
| 11 | JUWARDI | |
| 12 | BUDIYONO | |
| 13 | ROSIDI | |
| 14 | HADI SUWANTO | |
| 15 | SITI HALIMAH | |
| 16 | SUPRAT | |
| 17 | KOMEDI | |
| 18 | RAMIDI | |
| 19 | PRAMONO | |
| 20 | JUWANTO | |
| 21 | JUWARNO | |
| 22 | SITI MARIATI | |
| 23 | KALIM | |
| 24 | MUH KAMIL | |
| 25 | NURYANTO | |
| 26 | KAMDI | |
| 27 | SISWANDI | |
| 28 | SLAMET ISWAHYUDI | |
| 29 | BUDI YANTO | |
| 30 | ACHMAT MAS'UDI | |
| 31 | ACHMAD MALIK | |
| 32 | HARTONO | |
| 33 | SURANTO |