| No. | Nama | Paraf |
|---|---|---|
| 1 | MUSAMAT | |
| 2 | YATNO | |
| 3 | MUHLASIN | |
| 4 | MURTOMO | |
| 5 | SLAMET WINARDI | |
| 6 | IKSANUDIN | |
| 7 | HARUN BASKORO | |
| 8 | HAERI | |
| 9 | MUHAMAD ASNAWI | |
| 10 | SUTOPO | |
| 11 | SARLAN | |
| 12 | SARKOYO | |
| 13 | TAMBAS | |
| 14 | SUPRIYANTO | |
| 15 | MARSUDI | |
| 16 | MUNTAMAH | |
| 17 | MUHWANTO | |
| 18 | ISTAMAR | |
| 19 | JARIYAH | |
| 20 | NARWAH | |
| 21 | MUKADAR | |
| 22 | SARYANTO | |
| 23 | WALIDAH | |
| 24 | M. ABDUL KHAFIDZ | |
| 25 | TRI MURDOKO | |
| 26 | KHABIB MUSTOFA | |
| 27 | AMIN FATONI | |
| 28 | NASIKIN | |
| 29 | SOLIKIN | |
| 30 | RORI | |
| 31 | KIRYONO | |
| 32 | SARIYAH | |
| 33 | WIBAWA WIYATIN |