| No. | Nama | Paraf |
|---|---|---|
| 1 | SARMAN | |
| 2 | MUHAMAD DAHWANI | |
| 3 | SUWARTO | |
| 4 | KATI | |
| 5 | GINAH | |
| 6 | PAWIT | |
| 7 | WAHITUN | |
| 8 | NUR SAHID | |
| 9 | ROKHMAD | |
| 10 | YATIN | |
| 11 | SANDI | |
| 12 | NUR ROHMAN | |
| 13 | SENEN | |
| 14 | EKA | |
| 15 | EDO CAHYO VITRANDY | |
| 16 | NARDI | |
| 17 | RUMADI | |
| 18 | TAMBAH | |
| 19 | TUKIRAH | |
| 20 | HAMIT SHOLIHIN | |
| 21 | SUKUR AGUS PAMUNGKAS | |
| 22 | DIHARJO | |
| 23 | PATONAH | |
| 24 | ROHMADI | |
| 25 | SUTAMAT | |
| 26 | ROCHIMAN | |
| 27 | TUKUL | |
| 28 | WALIYONO | |
| 29 | SUTINAH | |
| 30 | SUGENG RIYANTO | |
| 31 | TATANG SUHERMAN DARAJAT | |
| 32 | SURATMAN | |
| 33 | JAMARI | |
| 34 | TUWALDI | |
| 35 | KASIDAH | |
| 36 | PONCO PAWIRO | |
| 37 | TRIMO | |
| 38 | SUHARJO | |
| 39 | RUKIJAN | |
| 40 | TANIYO | |
| 41 | MARYOTO | |
| 42 | SISWANTO | |
| 43 | URIP SUJOKO | |
| 44 | SAMURI | |
| 45 | KASNO | |
| 46 | PARIYADI | |
| 47 | WARDI | |
| 48 | SENO | |
| 49 | CEPON | |
| 50 | SIO | |
| 51 | TUKIJO | |
| 52 | NGAMI | |
| 53 | MONO | |
| 54 | EFA DIANA | |
| 55 | SAKOWAH | |
| 56 | NGATEMIN | |
| 57 | RUWADI | |
| 58 | WAHNO | |
| 59 | SUKRI | |
| 60 | TANIO | |
| 61 | RUSIYO | |
| 62 | SENO | |
| 63 | MARYOTO | |
| 64 | ROMANDHON | |
| 65 | MURDI | |
| 66 | WALSIDI | |
| 67 | MISDI | |
| 68 | AWAL | |
| 69 | MOH. TOHA MAHSUN |