| No. | Nama | Paraf |
|---|---|---|
| 1 | LISTIYO | |
| 2 | SOCHIBULHANI | |
| 3 | MAMBAK | |
| 4 | MUJI 'ABDUL MU'ID | |
| 5 | AMAT NASUCHA | |
| 6 | PARNO | |
| 7 | SAMBODO | |
| 8 | HERI YANTO | |
| 9 | ERI MAHFUDIN | |
| 10 | BARIYATI | |
| 11 | SUKAMAT | |
| 12 | SADAT EKO PRAYOGO | |
| 13 | MUNJARI | |
| 14 | MUTAAT | |
| 15 | TUKIR | |
| 16 | CUKUP | |
| 17 | MUHTAR | |
| 18 | PARIYAH | |
| 19 | SLAMET ARIYADI | |
| 20 | AMAT ICHWANI | |
| 21 | ISRORI | |
| 22 | SOPYANI | |
| 23 | MUHTAROM | |
| 24 | JAMI'ATI | |
| 25 | YASKUR | |
| 26 | WAHONO | |
| 27 | MUHISYAM | |
| 28 | JINASTITIK | |
| 29 | MUDIYONO | |
| 30 | SABIHISMIYATUN | |
| 31 | SURIPTO | |
| 32 | JULIYANTO | |
| 33 | MARIYADI | |
| 34 | SAMSURI | |
| 35 | SOLICHUN | |
| 36 | JUNAERI | |
| 37 | MUHAMAD ROFIDIN | |
| 38 | YASIN | |
| 39 | VINA HARIYANINGTYAS |