| No. | Nama | Paraf |
|---|---|---|
| 1 | MUNAWAR | |
| 2 | AGUS PRASETIYO | |
| 3 | MUHAMMAD YUSUF ASFIYAK | |
| 4 | TAMBENG MUNJAYANAH | |
| 5 | ISTAMIN AZIS | |
| 6 | YATIMAH | |
| 7 | SUDIYONO | |
| 8 | SUSANTO | |
| 9 | KHUNDORI | |
| 10 | SUDARSONO | |
| 11 | BADRIYAH | |
| 12 | TABIIN | |
| 13 | SELAMET AL NOTODIHARDJO | |
| 14 | ZAIDIN AMRON | |
| 15 | WIDODO | |
| 16 | UMI FTIRIYAH | |
| 17 | EKO SUSETIYO | |
| 18 | ROISUL MUFID | |
| 19 | WAID ABRORI | |
| 20 | AMIN ROIS | |
| 21 | DENI NUGROHO | |
| 22 | NUR YASIN | |
| 23 | SUROSO | |
| 24 | WAHAM | |
| 25 | NUNIK WIDAYANTI | |
| 26 | ZAMRONI | |
| 27 | KARSONO | |
| 28 | NURHIDAYATI LUKITANINGSIH | |
| 29 | ROZIKIN | |
| 30 | DWI STYOWATI | |
| 31 | SUPANGAT | |
| 32 | WAHNO | |
| 33 | FATKHUR ROHMAN | |
| 34 | TUKIDI | |
| 35 | SAMSODIN | |
| 36 | MUDJARI | |
| 37 | WARDI | |
| 38 | SARDJU | |
| 39 | ISROFI | |
| 40 | SAYUTI | |
| 41 | SUYOTO | |
| 42 | SUKISMAN | |
| 43 | SARYONO | |
| 44 | MADIYONO | |
| 45 | BAKIR | |
| 46 | RIYONO | |
| 47 | SOBARI | |
| 48 | RIYADI | |
| 49 | PRAYITNO | |
| 50 | PURNAMA SIDIQ | |
| 51 | KIRMANTO | |
| 52 | MUH TAROM | |
| 53 | RISWANTO | |
| 54 | SUPRIYADI | |
| 55 | BUDI SISWANTO | |
| 56 | CHUNDLORI | |
| 57 | JAHRI | |
| 58 | JAHRO | |
| 59 | SUTOMO | |
| 60 | MURNAH | |
| 61 | WAHYUDI | |
| 62 | SURATEMI | |
| 63 | KHOLIYASIN | |
| 64 | SAMSURI | |
| 65 | SUPRIYADI | |
| 66 | BUDIYANTO | |
| 67 | ARIYANTI | |
| 68 | PURWANTO |