| No. | Nama | Paraf |
|---|---|---|
| 1 | NUR AMIYAH | |
| 2 | SUMIDI | |
| 3 | TRIYANTO | |
| 4 | JUNADI | |
| 5 | SURAMIN | |
| 6 | NGATIMIN | |
| 7 | DJUMAN | |
| 8 | PURDI | |
| 9 | SUBIYAT | |
| 10 | MISYAM | |
| 11 | RAMIDI | |
| 12 | WAHID | |
| 13 | ISMAN | |
| 14 | RUMIJAN | |
| 15 | NGAHADI | |
| 16 | NGADIMIN | |
| 17 | RUSMIN | |
| 18 | DARMADI | |
| 19 | TRI YATNO | |
| 20 | MARIYANTO | |
| 21 | AGUS SUGIYANTO | |
| 22 | SULATI | |
| 23 | SRI JOKO | |
| 24 | SAPARI | |
| 25 | SUMARI | |
| 26 | ZAENAL MUJAHIDIN |