| No. | Nama | Paraf |
|---|---|---|
| 1 | CATUR RAHAYU | |
| 2 | YOHANES BUDIYANTO | |
| 3 | MARGANI | |
| 4 | SURASA | |
| 5 | ENDRO SUSILO | |
| 6 | SISWOYO | |
| 7 | BEDJO | |
| 8 | TASLIM | |
| 9 | SUTANTO | |
| 10 | TUKUL USADA | |
| 11 | MUBADIYAH | |
| 12 | SUTINAH | |
| 13 | MOHJASMI | |
| 14 | MUDAYAT | |
| 15 | MARILAH | |
| 16 | SARTI | |
| 17 | IMAM SAFUAN | |
| 18 | SUPARMAN | |
| 19 | BOTOK | |
| 20 | WAGIYARTO | |
| 21 | SUMARNI | |
| 22 | DAHRI | |
| 23 | IMAN | |
| 24 | NOMO PAWIRO | |
| 25 | MUNDIYAH | |
| 26 | PUJONGKO | |
| 27 | SENO | |
| 28 | SUPRIYANTO | |
| 29 | ISRO'I | |
| 30 | MUHAMAD RUDI YUSWANTO | |
| 31 | HADIYANTO | |
| 32 | ABU | |
| 33 | SUMARDI | |
| 34 | TEGUH TRIYONO | |
| 35 | TRI AGUS WAHYONO | |
| 36 | KUAT SANTOSA | |
| 37 | NUROHMAN | |
| 38 | JUMARI | |
| 39 | YOYONG SUJIARTO | |
| 40 | ISMOYO | |
| 41 | WALUYO |