| No. | Nama | Paraf |
|---|---|---|
| 1 | ERFAN NASIDIN | |
| 2 | SANTOSA | |
| 3 | AHMADI | |
| 4 | AHMAD SAFI'I | |
| 5 | MAT KHAFIDLIN | |
| 6 | SLAMET SUWALNO | |
| 7 | KHONIYATI | |
| 8 | WANDA SUSANTO | |
| 9 | KUAT SUPRIYADI | |
| 10 | LIKHANI | |
| 11 | SUBARIYADI | |
| 12 | AHMAD SUSANTO | |
| 13 | WAKI'AH | |
| 14 | MURSALIM | |
| 15 | PARIDI | |
| 16 | SIDI | |
| 17 | RISYANTO | |
| 18 | ASDANIYATIN | |
| 19 | SLAMET YATMAN | |
| 20 | SUDARIYANTO | |
| 21 | KHOZINATUN | |
| 22 | WALIYONO | |
| 23 | MUDAI | |
| 24 | SARDIYONO | |
| 25 | WALSIDI | |
| 26 | SLAMET YATIN | |
| 27 | SLAMET RAHARJO | |
| 28 | MARIYADI | |
| 29 | MUHSON | |
| 30 | SUKATI | |
| 31 | MATORI | |
| 32 | SUNARNI | |
| 33 | KOMARI | |
| 34 | ISTIKOMAH | |
| 35 | JONGKO SUTRISNO | |
| 36 | SUMARNO | |
| 37 | RUSIYAH | |
| 38 | ISMAIL | |
| 39 | TIYONO | |
| 40 | SOBARI | |
| 41 | DUMERI | |
| 42 | PARWITO | |
| 43 | ISMUIN | |
| 44 | ROCHMADI | |
| 45 | SUMARSO | |
| 46 | SUPRAPTO | |
| 47 | SUHADI | |
| 48 | SUTARMADI | |
| 49 | MUTINI | |
| 50 | BATI ROHMAN | |
| 51 | ZAENAL MUKODIM | |
| 52 | FAJAR ARIYANTO | |
| 53 | AHMAD NASOHA | |
| 54 | SUGATI | |
| 55 | NANY RICHANI | |
| 56 | SLAMET SAYUDI | |
| 57 | WAHYUTI | |
| 58 | SURATO | |
| 59 | TULUS | |
| 60 | ROJIATUN | |
| 61 | MUJI SUHURI | |
| 62 | SLAMET FA'IZIN | |
| 63 | ARIYONO | |
| 64 | RAMIJAN | |
| 65 | SUPRIYONO | |
| 66 | SUKIYAT | |
| 67 | RUBAE'AH | |
| 68 | ARIFIN |