| No. | Nama | Paraf |
|---|---|---|
| 1 | ROKIMAN | |
| 2 | SUNARYO | |
| 3 | SUAMIN | |
| 4 | BUDIYONO | |
| 5 | SURYADI | |
| 6 | NANDIR MAKHRUF | |
| 7 | SARWIDI | |
| 8 | MARKIDAH | |
| 9 | TUNTUN WAHIDIN | |
| 10 | MUGIYO | |
| 11 | SUWADI | |
| 12 | IRWANTO | |
| 13 | WALMAN | |
| 14 | ZAENAB | |
| 15 | TRI YANTO | |
| 16 | EVENDI | |
| 17 | SUKINAH | |
| 18 | MARTAWI | |
| 19 | YASMITO | |
| 20 | MUSTO | |
| 21 | DARIYAH HARIYATI | |
| 22 | SUKIRNO | |
| 23 | ABUYONO | |
| 24 | MUYADI | |
| 25 | SOFYAN EFENDI | |
| 26 | PARGIYAH | |
| 27 | KOPIYAH | |
| 28 | MARYONO | |
| 29 | KARSI | |
| 30 | SURAMI | |
| 31 | MUYONO MUSROFIN | |
| 32 | MARKITRI | |
| 33 | PARMIDI |