| No. | Nama | Paraf |
|---|---|---|
| 1 | ADE MUHAMAD NAWAWI | |
| 2 | ARIYADI | |
| 3 | MUHAMMAD SURIP | |
| 4 | MURI | |
| 5 | NOOR SHODIQ | |
| 6 | MUHLISIN | |
| 7 | MUSTOFA | |
| 8 | RIFAI RAHAYU | |
| 9 | SUTIKTO | |
| 10 | KARTO DIKROMO | |
| 11 | SEMIN | |
| 12 | TRIMO | |
| 13 | BEJO | |
| 14 | KHOERONI | |
| 15 | NASIKIN | |
| 16 | SARMO | |
| 17 | PARYONO | |
| 18 | SUYONO | |
| 19 | DALDIRI | |
| 20 | SUTARNO | |
| 21 | BUTHUK | |
| 22 | NURYONO | |
| 23 | NGATEMIN | |
| 24 | WARMIN | |
| 25 | SUTAMAT | |
| 26 | SLAMET | |
| 27 | MUNARDI | |
| 28 | SARWADI | |
| 29 | SARTONO | |
| 30 | KONAJI | |
| 31 | NUR AFANDI | |
| 32 | MUHLAR | |
| 33 | DAHMI | |
| 34 | TURIDI | |
| 35 | JUMONO | |
| 36 | MARSUDI | |
| 37 | HERI SUSANTO | |
| 38 | JULI | |
| 39 | ASROFI | |
| 40 | WAHYUDI | |
| 41 | MU'AZIZ | |
| 42 | DAHRI | |
| 43 | RUSMI | |
| 44 | SULISTIYO | |
| 45 | WAHYONO | |
| 46 | TRIYOTO | |
| 47 | ILYASIN | |
| 48 | SUWARTI | |
| 49 | KASIYEM |