| No. | Nama | Paraf |
|---|---|---|
| 1 | SUPRIYANTO | |
| 2 | EDI SURYADI | |
| 3 | MUHAMMAD ABDULLAH | |
| 4 | SLAMET PRAYITNO | |
| 5 | RIWAYAT | |
| 6 | ERNAWATI | |
| 7 | SLAMET MUJIYATI | |
| 8 | SARIJAN | |
| 9 | SUMAEDI | |
| 10 | MUNDAKIR | |
| 11 | WALUYO | |
| 12 | BEJO RAME | |
| 13 | WAKIDI | |
| 14 | MULYOWATI | |
| 15 | SUTADI | |
| 16 | MUKHAROM | |
| 17 | SUROTO | |
| 18 | SAPARDI | |
| 19 | AMAT SUJONO | |
| 20 | WAHONO | |
| 21 | SUPARNO | |
| 22 | NGATEMAN | |
| 23 | PARMI | |
| 24 | SAYUP | |
| 25 | SUNARTO | |
| 26 | NGARMAN | |
| 27 | MAGHFIROH | |
| 28 | SABAR | |
| 29 | BUDIMAN KUNCORO | |
| 30 | TRIMO | |
| 31 | ISMANTO | |
| 32 | POYO TIMBUL | |
| 33 | ADE SUPARDI | |
| 34 | SHOLICHIN | |
| 35 | MUHAMMAD SHOLIKHUN | |
| 36 | MUNAKIB | |
| 37 | AMAN | |
| 38 | SRI LUWARTI | |
| 39 | PARNI | |
| 40 | IMAM FAOZI | |
| 41 | SUMIRAH | |
| 42 | SLAMET IKHSANUDIN | |
| 43 | RATNO | |
| 44 | KABUL RIWANTO | |
| 45 | SUSI RIYATI | |
| 46 | LASTRIYONO |