| No. | Nama | Paraf |
|---|---|---|
| 1 | TRI ASMINAH | |
| 2 | TRUBUS SODIQ | |
| 3 | PUJI SETIYAWATI | |
| 4 | MUSIKHIN | |
| 5 | SUNARTI | |
| 6 | RUKIYAH | |
| 7 | MAHMUD | |
| 8 | KHADIMAN | |
| 9 | BUDI | |
| 10 | KAERI | |
| 11 | MUSLIH | |
| 12 | TEGO | |
| 13 | SURYADI | |
| 14 | TUGIYONO | |
| 15 | KHARIRI | |
| 16 | MUTAKIM | |
| 17 | FAHORI | |
| 18 | SAR'AN | |
| 19 | AHMAD ALIMIN | |
| 20 | ALIMIN FUAT ARIFIN | |
| 21 | FAQIH DWI ANHAR | |
| 22 | YUNAENAH | |
| 23 | MARKIM | |
| 24 | SRI ISLAM | |
| 25 | UCI SETYAWAN | |
| 26 | SAEFUL AMRI | |
| 27 | DARYONO | |
| 28 | MISROJI |