| No. | Nama | Paraf |
|---|---|---|
| 1 | RIYONO | |
| 2 | DOVITA | |
| 3 | SRIYANTO | |
| 4 | MARTINAH | |
| 5 | ZAHRI | |
| 6 | MUNARI | |
| 7 | ZAENUDIN | |
| 8 | SARNO AL SUMARI | |
| 9 | SANIATUN | |
| 10 | QODARI | |
| 11 | ISMAIL | |
| 12 | SLAMET | |
| 13 | MUJIYONO | |
| 14 | SASTRO MUDJONO | |
| 15 | SUMIYATI | |
| 16 | NURYANTO | |
| 17 | CHAMBALI | |
| 18 | MUKHAMAD SOLEH | |
| 19 | SUWARNO | |
| 20 | MUJI | |
| 21 | MULYONO | |
| 22 | DAWAMUDIN | |
| 23 | MUNFIDATI | |
| 24 | ELIS MA'FUDIN | |
| 25 | PURNOMO | |
| 26 | WALMIN | |
| 27 | NASIKHIN | |
| 28 | YUSUF | |
| 29 | IMAM BAEHAKI | |
| 30 | AGUS ARIFIN | |
| 31 | KHOLILIN | |
| 32 | ISMIYATI | |
| 33 | MUSTAQIM | |
| 34 | KHOERUN | |
| 35 | SLAMET | |
| 36 | SETO ADI ARIYANTO | |
| 37 | UMI KHAYATUN |