| No. | Nama | Paraf |
|---|---|---|
| 1 | ANDRIYANTO | |
| 2 | SRI KUAT | |
| 3 | MUTINAH | |
| 4 | BUDIYONO | |
| 5 | NUR KHAMID | |
| 6 | NOR AMILIN | |
| 7 | SUPARTI | |
| 8 | HARI PARMANTO | |
| 9 | SUMARSIH | |
| 10 | BEDOT | |
| 11 | SUTONO | |
| 12 | JUWARI | |
| 13 | MURWATI | |
| 14 | YASMINTO | |
| 15 | NARTIYAH | |
| 16 | SUPARDI | |
| 17 | WALIDI | |
| 18 | YAMIJAN | |
| 19 | MUNARDI | |
| 20 | PONIDI | |
| 21 | MUJIONO | |
| 22 | SURAMIN | |
| 23 | SUPINGGIR | |
| 24 | WAHYUDI | |
| 25 | MURIDI | |
| 26 | SISWANTO | |
| 27 | PRAMINTO | |
| 28 | SUPONO | |
| 29 | PUJIYONO | |
| 30 | SISNO | |
| 31 | PONIJAN | |
| 32 | JARWANTO | |
| 33 | TUKIJAN | |
| 34 | JARWADI | |
| 35 | SUNARDI | |
| 36 | SUROTO | |
| 37 | BUTUK | |
| 38 | PONIDI | |
| 39 | TARJO | |
| 40 | JARI | |
| 41 | SUSANTO | |
| 42 | PONITI | |
| 43 | RIDI | |
| 44 | PURWADI | |
| 45 | KUSNI | |
| 46 | SLAMET | |
| 47 | BAGIYONO | |
| 48 | SUPARMAN | |
| 49 | MARYUDI |