| No. | Nama | Paraf |
|---|---|---|
| 1 | AGUNG SURONO | |
| 2 | SUNARDI | |
| 3 | MUTIAH | |
| 4 | SUWANDI | |
| 5 | ZAMRONI | |
| 6 | ISTIKOMAH | |
| 7 | NGARMI | |
| 8 | SITI MARYATI | |
| 9 | ISMINAH | |
| 10 | MARJUMONO | |
| 11 | PAWIT SUGIYANTO | |
| 12 | SA'RI | |
| 13 | ROCHMADIYONO | |
| 14 | CHAYADI | |
| 15 | KOSIM | |
| 16 | ISWADI | |
| 17 | MUHRONI | |
| 18 | RUMANTI | |
| 19 | M. MASTURI | |
| 20 | MUH SODIKIN | |
| 21 | NURYADI | |
| 22 | EKO TRI LAKSONO | |
| 23 | JOKO TRIYONO | |
| 24 | FAIZUN | |
| 25 | AGUS HERMAWAN | |
| 26 | RUJIYAH | |
| 27 | ZAENAL SHODIKUN | |
| 28 | MURNI |