| No. | Nama | Paraf |
|---|---|---|
| 1 | SARMIAN TARIHORAN | |
| 2 | BUHORI | |
| 3 | SUTIKNO | |
| 4 | MUSLIHAT | |
| 5 | YASIFUN | |
| 6 | PARYANTO | |
| 7 | SAWON | |
| 8 | WAHDLONI | |
| 9 | NUR ROHIM | |
| 10 | FATHUL | |
| 11 | YUNANI | |
| 12 | BUDI | |
| 13 | DARNO | |
| 14 | SURYOTO | |
| 15 | JARKO | |
| 16 | SLAMET | |
| 17 | SUNGKONO | |
| 18 | MARTIAH | |
| 19 | SLAMET | |
| 20 | BUHORI | |
| 21 | NASOHA | |
| 22 | ROZIKIN | |
| 23 | SLAMET | |
| 24 | SURO SURAME | |
| 25 | MISDI | |
| 26 | TRIMO | |
| 27 | MOHSIN | |
| 28 | RONDIYAH | |
| 29 | MISRONI | |
| 30 | LASMI | |
| 31 | BOTOK TUTUR | |
| 32 | ANIK | |
| 33 | SURTI | |
| 34 | FAYAKUN | |
| 35 | SOLIHAN | |
| 36 | PAWIT | |
| 37 | WALSUN | |
| 38 | HOLISIN | |
| 39 | ISTIKOMAH | |
| 40 | WAHABI | |
| 41 | WALMAT | |
| 42 | SUHADI |