| No. | Nama | Paraf |
|---|---|---|
| 1 | MAHSUN | |
| 2 | SARWIDAH | |
| 3 | DIDIK DARMADI | |
| 4 | SUPRIYONO | |
| 5 | MISYUDI | |
| 6 | MUHAMMAD ANNAS | |
| 7 | ZENI SAFITRI | |
| 8 | MUNARDI | |
| 9 | SIRIN | |
| 10 | WALMI | |
| 11 | SAKIMAH | |
| 12 | RUPIJI | |
| 13 | WALNO | |
| 14 | UNTUNG | |
| 15 | ISTIKOMAH | |
| 16 | PARYUDI | |
| 17 | MUGAMPANG | |
| 18 | RIYADI | |
| 19 | PARMIN | |
| 20 | NUR WAHID | |
| 21 | NUROHIM | |
| 22 | WALIDI | |
| 23 | MARSONO | |
| 24 | SIYANTO |