| No. | Nama | Paraf |
|---|---|---|
| 1 | KARMINAH | |
| 2 | HERI MUCHOFIN | |
| 3 | AGUS SUSANTO | |
| 4 | SAROYO | |
| 5 | ADHA RUDI ISA ANSORI | |
| 6 | SITI CHOLIMAH | |
| 7 | SURADI | |
| 8 | JUMINAH | |
| 9 | MARYADI | |
| 10 | MARYONO | |
| 11 | MUHNASIR | |
| 12 | MUBAEDI | |
| 13 | ROHANI | |
| 14 | BUNASAB | |
| 15 | SLAMET RAHAYU | |
| 16 | SUYITNO | |
| 17 | SUJITO | |
| 18 | WALIYATI | |
| 19 | WAHRI | |
| 20 | SUGITO | |
| 21 | SUMARDI PAIDI | |
| 22 | SUHARNO | |
| 23 | SUMARNO | |
| 24 | MUNTARI | |
| 25 | RUMIDAH | |
| 26 | DEDI PUTRA RIYADI | |
| 27 | SHODIQ | |
| 28 | CANDRA ADI SUPRASTIYO | |
| 29 | MUJONO | |
| 30 | MUGIHARTO | |
| 31 | WAHYUDI | |
| 32 | SUYANTO | |
| 33 | JASMAN SODIQ ABDURROHMAN | |
| 34 | TAAT SULISTIYO | |
| 35 | UMAR NASAFI |