| No. | Nama | Paraf |
|---|---|---|
| 1 | SUYATMAN | |
| 2 | NGADIYO | |
| 3 | CAHYOSO ILHAMI | |
| 4 | SAMSUDI | |
| 5 | TRI MULYONO | |
| 6 | PARJO SUWITO | |
| 7 | BEJO ASRONI | |
| 8 | SUPRAPTO | |
| 9 | SUHADI | |
| 10 | YAMONAH | |
| 11 | SURIPTO | |
| 12 | ROCHMAN | |
| 13 | SURAHMAN | |
| 14 | SANUSI | |
| 15 | NURUL HIDAYATI | |
| 16 | TRI TUSMILAH | |
| 17 | RIYADI | |
| 18 | PODO LAKSONO | |
| 19 | MUJIRAN | |
| 20 | SITI FITRIAH HUSEN | |
| 21 | WIJI ASMORO | |
| 22 | IMRONAH | |
| 23 | DARSONO | |
| 24 | SUPARMAN | |
| 25 | NURUL HIDAYATI | |
| 26 | YENI MURSETYANI RAHMAN | |
| 27 | UJI ASIH | |
| 28 | WORO BUDI SANTOSO | |
| 29 | PRIYANTO | |
| 30 | SRI MARYATI |