| No. | Nama | Paraf |
|---|---|---|
| 1 | MUDRIKAH | |
| 2 | PARJI ERWANTO | |
| 3 | ZAINAL ISWATI | |
| 4 | MISBAKHUL ANAM | |
| 5 | ARIF BUDI RAHAYU | |
| 6 | SAMSUL | |
| 7 | TRIYONO | |
| 8 | SARIYADI | |
| 9 | MARWATTI | |
| 10 | SABAR TRIMO | |
| 11 | MIFTAKHUL IBAT | |
| 12 | SUKIRMAN | |
| 13 | MARIYADI | |
| 14 | HARIYANTO | |
| 15 | MUH DAHRI | |
| 16 | RUMADI | |
| 17 | SUKARNO | |
| 18 | SIYAMIN | |
| 19 | SUCIPTO | |
| 20 | NUR SAHURI | |
| 21 | ISTAKORI | |
| 22 | MUCHTAMAR | |
| 23 | SUDJUD | |
| 24 | MARTAWI | |
| 25 | TOLANI | |
| 26 | NARTO WAGI | |
| 27 | HARYANTO | |
| 28 | WASITO | |
| 29 | SAHADI | |
| 30 | DAHRI | |
| 31 | KARTINI | |
| 32 | SAMHARI | |
| 33 | SUYADI | |
| 34 | RUWADI | |
| 35 | MUSLICHUN | |
| 36 | ISTAKHORI | |
| 37 | ASMUI | |
| 38 | MUHDI | |
| 39 | KHAMIM | |
| 40 | SUWANTO | |
| 41 | MUTIAH | |
| 42 | SANATI | |
| 43 | UNTUNG PRIYONO | |
| 44 | SULURI | |
| 45 | MUFRODI | |
| 46 | NURUL AFANI | |
| 47 | SARIYONO | |
| 48 | AHMAD SYAEFUDIN | |
| 49 | SITI BAROYAH | |
| 50 | WEING LESTARI | |
| 51 | SARTI | |
| 52 | MIFTAHUDIN |