| No. | Nama | Paraf |
|---|---|---|
| 1 | M. NUR KHOLIK | |
| 2 | WALDI | |
| 3 | MUHAMAD NURWAKHID | |
| 4 | PARIYADI | |
| 5 | ROHYATI | |
| 6 | RASIYEM | |
| 7 | AZIS MUSLIM | |
| 8 | AJI PRAMONO | |
| 9 | NOFIYANTO | |
| 10 | UTOYO | |
| 11 | SUGIYONO | |
| 12 | SLAMET | |
| 13 | TIRTO DIHARJO | |
| 14 | MARTOYO | |
| 15 | SUMINI | |
| 16 | MARIYATUN | |
| 17 | MUH LISIN | |
| 18 | SARNI | |
| 19 | MARSONO | |
| 20 | RAGIONO | |
| 21 | MUHARI | |
| 22 | KUSNADI | |
| 23 | MUWARNI | |
| 24 | SUNARDI | |
| 25 | RUJITO | |
| 26 | MARDIYANTO |