| No. | Nama | Paraf |
|---|---|---|
| 1 | NIYATUN | |
| 2 | TARNO | |
| 3 | SAWAL | |
| 4 | FATKHUROHMAN | |
| 5 | SUKRON MAKMUN | |
| 6 | KAMALIYAN | |
| 7 | NURIYAH | |
| 8 | ROHMAT | |
| 9 | WAGIMAN MOCHAMAD WARIS | |
| 10 | TATAG APRIYANTO | |
| 11 | KABULTOIM | |
| 12 | AYEMI | |
| 13 | ROCHMADI | |
| 14 | MURSILAH | |
| 15 | BUDIYONO | |
| 16 | NASIKIN | |
| 17 | KAMALIYAH | |
| 18 | SUPRAPTO | |
| 19 | SUDARNO | |
| 20 | PARWOTO | |
| 21 | ROCHMAN | |
| 22 | MUHKOLIL | |
| 23 | SIMON KONPAH USKONO | |
| 24 | HARIYONO |