| No. | Nama | Paraf |
|---|---|---|
| 1 | JUMIYEM | |
| 2 | SITI MUNAWAROH | |
| 3 | MUJI ASIH | |
| 4 | AZIZ FATKHUROHMAN | |
| 5 | ZAINI | |
| 6 | FAKUL NUR HAMDANI | |
| 7 | KUWAT SLAMET | |
| 8 | KUSNADI | |
| 9 | YASIM | |
| 10 | MUHTAR | |
| 11 | BUDIYAT | |
| 12 | JAMRON | |
| 13 | KOBRO SANTOSO | |
| 14 | SATAM | |
| 15 | MUHAMAD SARI SEPTIANTO | |
| 16 | NGAENI | |
| 17 | WASNO | |
| 18 | SURADI | |
| 19 | JOKO SUTRISNO | |
| 20 | MARDIYONO | |
| 21 | FAJAR ISNARIYAH | |
| 22 | ISTAKHORI | |
| 23 | SUKARNI | |
| 24 | SAPARDI | |
| 25 | SARYONO | |
| 26 | IRFAN PRAYOGI | |
| 27 | SANDI TRIYO UTOMO | |
| 28 | PONIDI YOGO PRAYITNO | |
| 29 | ZAHRODIN | |
| 30 | SURIPTO | |
| 31 | SUPRIYANTO |