| No. | Nama | Paraf |
|---|---|---|
| 1 | SIDIQ MAFTUH | |
| 2 | MARJONO SLAMET | |
| 3 | RUWIYAH | |
| 4 | AGUS KUSTIAWAN | |
| 5 | BANDIYAH | |
| 6 | HARUN ASRORI | |
| 7 | JUMERI | |
| 8 | PARDI | |
| 9 | KUSMAN | |
| 10 | SUYONO | |
| 11 | TRIYANTO | |
| 12 | MUH SAID TRIMO | |
| 13 | WATONO | |
| 14 | TUSMAN | |
| 15 | ARIYANTO | |
| 16 | EROCHMAT | |
| 17 | SAMUDI | |
| 18 | KASDU AFANDI | |
| 19 | AMAT | |
| 20 | SUNDARTI | |
| 21 | JUWANDI | |
| 22 | SUJARWO AL KUSDI | |
| 23 | SUJARWANTO | |
| 24 | DARYADI | |
| 25 | WALUYO | |
| 26 | SUPRIYAH | |
| 27 | WAHYU TRI KUSRINI |