| No. | Nama | Paraf |
|---|---|---|
| 1 | PONIMIN | |
| 2 | IKHSAN | |
| 3 | PRASEPTA | |
| 4 | MURWANTI | |
| 5 | TRI MUTIYATI | |
| 6 | HAFID SYAPUTRA | |
| 7 | SULISTYO | |
| 8 | TURMUDI | |
| 9 | RUMIDAH | |
| 10 | MUJINAH | |
| 11 | AMAT ASHARI | |
| 12 | UMAR | |
| 13 | RUKIYAH | |
| 14 | DARNO | |
| 15 | MUNAWIR | |
| 16 | BEJO SUWITO DIMEJO | |
| 17 | SURATINAH | |
| 18 | RISWANTO | |
| 19 | ASJUDI | |
| 20 | MURIYONO | |
| 21 | NURHADI | |
| 22 | SUTRISNO | |
| 23 | YUNUS | |
| 24 | RIZAL DWI CAHYO | |
| 25 | GITO TRAHATIN | |
| 26 | WALNO | |
| 27 | ZENDRI MUSTADIN | |
| 28 | TAUFIKUR ROCHMAN | |
| 29 | MARIYANTO | |
| 30 | SUKIRMAN | |
| 31 | AGUS GUNTOLO | |
| 32 | MARSILAH | |
| 33 | ZANA KODIM | |
| 34 | JUMONO |