| No. | Nama | Paraf |
|---|---|---|
| 1 | MUKHAMMAD IKHSAN ALI | |
| 2 | SLAMET DHOHIR | |
| 3 | SARIYATI | |
| 4 | NOK KHUDHORIYAH | |
| 5 | DARMI | |
| 6 | SUKARNO | |
| 7 | ABDUL AZIZ | |
| 8 | MUH RIFAI | |
| 9 | SUS ADIYANTO | |
| 10 | SUTRISNO | |
| 11 | NURYANTO | |
| 12 | H.HADI MASKUR | |
| 13 | MUJIAT | |
| 14 | MUH DAWUD | |
| 15 | KHOERONI | |
| 16 | WARTIYAH | |
| 17 | SUWONO | |
| 18 | TUKINI | |
| 19 | MAT ISMAN | |
| 20 | MARIYADI | |
| 21 | KAHONO | |
| 22 | MARLIYAH | |
| 23 | PARIYONO | |
| 24 | MUH AMIN | |
| 25 | ZUWONO | |
| 26 | H.SOPYAN | |
| 27 | KARSINI | |
| 28 | SAMUDI | |
| 29 | ROHIMIN | |
| 30 | MUSIFAH | |
| 31 | NUROHMAN | |
| 32 | PRAYITNO | |
| 33 | AMAT YASRI | |
| 34 | WALMI | |
| 35 | AHMAD TOKE | |
| 36 | ZAIMUN | |
| 37 | ZAENI MUSTOFA | |
| 38 | ROHMAD DOMAT | |
| 39 | YUWONO | |
| 40 | MUH KHOZIM | |
| 41 | PARDI | |
| 42 | SAKBANI | |
| 43 | KARSINI | |
| 44 | ANUWARI | |
| 45 | MUHRI | |
| 46 | WALMI | |
| 47 | PRAYITNO | |
| 48 | ROSIDI | |
| 49 | LARNO | |
| 50 | AHMAD TOKE | |
| 51 | MARJANI | |
| 52 | NURWAHONO | |
| 53 | KHOTIJAH | |
| 54 | SAMUDI | |
| 55 | SRIYATUN | |
| 56 | ABUKHORI | |
| 57 | KAHONO | |
| 58 | MUH SODIKIN | |
| 59 | WARTIYAH | |
| 60 | KHUMAEDI | |
| 61 | HJ. UMIMI | |
| 62 | MISKIYAT | |
| 63 | MUH AMIN | |
| 64 | TOYIBAH | |
| 65 | KABUL | |
| 66 | MARIYADI | |
| 67 | MUJIYAT | |
| 68 | NGATINI | |
| 69 | MUHDAWUD | |
| 70 | SUDIRJO | |
| 71 | IRKHAM | |
| 72 | MIFTAKHUL | |
| 73 | NIAM ANSORI | |
| 74 | JOKO SANTOSO | |
| 75 | NGATINI | |
| 76 | SURIPTO | |
| 77 | MUHAMMAD HENDRAWAN |