| No. | Nama | Paraf |
|---|---|---|
| 1 | TOTOK ISTIYANTO | |
| 2 | FITRIYONO | |
| 3 | BADRIYANTO | |
| 4 | ONGKO SANTOSO | |
| 5 | ASMA'I | |
| 6 | MUCHSIN | |
| 7 | RUMINAH | |
| 8 | PARIYONO | |
| 9 | MUHAWARI | |
| 10 | SUNARI | |
| 11 | SLAMET NARWITO | |
| 12 | SUNAWAR | |
| 13 | TRIMO | |
| 14 | TARYONO | |
| 15 | JASWADI | |
| 16 | ARIS WIDIYANTO | |
| 17 | PARSUDI | |
| 18 | SUTARNO | |
| 19 | MUSIYAM | |
| 20 | JUWANTO | |
| 21 | BADRODIN | |
| 22 | DONI IQBAL PRAYUDHA | |
| 23 | TASMINAH | |
| 24 | KADIYAH |