| No. | Nama | Paraf |
|---|---|---|
| 1 | ISNAENI | |
| 2 | DARIYAH | |
| 3 | MAKMUN | |
| 4 | UDIN | |
| 5 | ANDI SULISTIYO WIJAYANTO | |
| 6 | BAHIR | |
| 7 | PARWITO | |
| 8 | NASOHA | |
| 9 | SURYONO | |
| 10 | SOFAN | |
| 11 | BANDI | |
| 12 | SUWANDI | |
| 13 | MISDI | |
| 14 | SUTOPO | |
| 15 | SLAMET | |
| 16 | KUWATI | |
| 17 | ROHMAN | |
| 18 | MUALIM | |
| 19 | WAHNUN | |
| 20 | YUSRO | |
| 21 | SUTRISNO | |
| 22 | PARDI | |
| 23 | SUKARI | |
| 24 | TASRI | |
| 25 | SLAMET | |
| 26 | AKHMAD AKROM | |
| 27 | TUWAR | |
| 28 | ROMADHON | |
| 29 | SUWADI | |
| 30 | MUNJAENI | |
| 31 | MISWANTO |