| No. | Nama | Paraf |
|---|---|---|
| 1 | ROHMAN | |
| 2 | ABDUL KOHAR MUTAKIN | |
| 3 | AHMAD KODIM | |
| 4 | MUTAQIN | |
| 5 | TURNAH | |
| 6 | SOIMUN | |
| 7 | MUKHAMAD MASFUR | |
| 8 | SAHRI | |
| 9 | ISTAKHORI | |
| 10 | ISTIKHORI | |
| 11 | HARTOYO | |
| 12 | SINWAN | |
| 13 | YUSDI | |
| 14 | SUGENG | |
| 15 | SOLICHUN | |
| 16 | JAKIYO | |
| 17 | JAMIL | |
| 18 | PARMIDI | |
| 19 | ASEPNANA | |
| 20 | MUH AMIN | |
| 21 | MUHJARIL | |
| 22 | KAMDI | |
| 23 | MUYONO | |
| 24 | BUANG | |
| 25 | SHOLEH | |
| 26 | MARSUN | |
| 27 | ABDUL KARIM | |
| 28 | SARYOTO | |
| 29 | NUR KHAMID | |
| 30 | JUMADI | |
| 31 | NUR KHABIB | |
| 32 | DIYONO | |
| 33 | MUH AMIN | |
| 34 | KANIFODIN | |
| 35 | KOMARUDIN | |
| 36 | MUNTO S. | |
| 37 | PRASETIYO | |
| 38 | SURASNO |