| No. | Nama | Paraf |
|---|---|---|
| 1 | ASROFI | |
| 2 | SUKRISTIYAWAN | |
| 3 | ROFI'I | |
| 4 | DIDIK KRISTIAWAN | |
| 5 | MARIYAM | |
| 6 | SARSINAH | |
| 7 | SULASNI | |
| 8 | HARIYANTO | |
| 9 | MATORIL HUDA | |
| 10 | WARDOYO | |
| 11 | SURANDI | |
| 12 | SLAMET | |
| 13 | SUMARNO | |
| 14 | PARYONO | |
| 15 | SAMROJI | |
| 16 | SUBANDI | |
| 17 | ISMAIL | |
| 18 | SARIJEM | |
| 19 | RINDOWAN | |
| 20 | JUMALI | |
| 21 | PURWANTO | |
| 22 | RUSNO | |
| 23 | RUKIMAN | |
| 24 | RATMO | |
| 25 | SUYATMAN | |
| 26 | MUH ANSORI | |
| 27 | KEMI | |
| 28 | RUCI'AH | |
| 29 | MANGSURI | |
| 30 | SUPRATIKNYO | |
| 31 | MAESAROH | |
| 32 | YAMINI |