| No. | Nama | Paraf |
|---|---|---|
| 1 | HASAN FAHRUDIN | |
| 2 | ZAENURI NGAHADAL | |
| 3 | TURYONO | |
| 4 | PARTINAH | |
| 5 | MAMIK GALIH HANDAYANI | |
| 6 | KODIRUN | |
| 7 | YUSUF ANDREAN | |
| 8 | ABDUR ROHIM | |
| 9 | ACHMAT ICHSAN | |
| 10 | ASRORI | |
| 11 | NUR AZIS | |
| 12 | WOHONO | |
| 13 | NASIR | |
| 14 | TEGUH | |
| 15 | AHMADI | |
| 16 | KARWITO | |
| 17 | RUWADI SUYATNO | |
| 18 | ACHMAD JAENI | |
| 19 | SURYANTO | |
| 20 | RUWANTI KASWADI | |
| 21 | MUSTOFA | |
| 22 | SUDIMAN | |
| 23 | NASRODIN | |
| 24 | CHAERODIN | |
| 25 | ANGSORI | |
| 26 | ROHMADI | |
| 27 | GIYEM | |
| 28 | MIFTAHUL ANWAR | |
| 29 | ROCHMIN | |
| 30 | DAWUD | |
| 31 | HADHY MANSHYUR | |
| 32 | TO'AT | |
| 33 | MARTINI | |
| 34 | SLAMET ADJI | |
| 35 | NURYANTO |