| No. | Nama | Paraf |
|---|---|---|
| 1 | KHOMSUN | |
| 2 | ISHADUL ROFIK | |
| 3 | ASFARI | |
| 4 | MUSTAQIM | |
| 5 | MARINI | |
| 6 | YASKUR | |
| 7 | BUYONO | |
| 8 | SULTONI | |
| 9 | AKHMAD SOFARI | |
| 10 | MISPARILAH | |
| 11 | YAENUN | |
| 12 | TRISMAN | |
| 13 | TULIMIN | |
| 14 | PU'AT | |
| 15 | PAIMIN | |
| 16 | RUWET | |
| 17 | SARMADI | |
| 18 | ROYIKIN | |
| 19 | SODIKIN | |
| 20 | RUDIYANTO | |
| 21 | JARWANDI | |
| 22 | MUHARI | |
| 23 | SOLIHUN | |
| 24 | YASMURI | |
| 25 | TULADI | |
| 26 | JUWAR | |
| 27 | JUMADI | |
| 28 | TUMI'AH | |
| 29 | SUGITO | |
| 30 | URIP. | |
| 31 | IKHWAN | |
| 32 | ABDUL HALIM | |
| 33 | MISWADI | |
| 34 | BADAR | |
| 35 | SUPANGAT | |
| 36 | BUDI SLAMET | |
| 37 | UNTUNG | |
| 38 | TRIMO | |
| 39 | MUGI | |
| 40 | ROHANDARI |