| No. | Nama | Paraf |
|---|---|---|
| 1 | SUPARMAN | |
| 2 | SUAMI | |
| 3 | MUSLIM | |
| 4 | SOPINAH | |
| 5 | MUALIFUN | |
| 6 | SABIKHUN | |
| 7 | SUMADI | |
| 8 | SHABAR | |
| 9 | NURYADIN | |
| 10 | SOBIRIN | |
| 11 | SALAMATUN | |
| 12 | PARYONO | |
| 13 | SAKUR | |
| 14 | MUH TAMBAH | |
| 15 | KIRNO | |
| 16 | MUHROMI | |
| 17 | YATIN | |
| 18 | SOLIHIN | |
| 19 | WALMAN | |
| 20 | SURANI | |
| 21 | NASRUN | |
| 22 | BERO | |
| 23 | SUISRI | |
| 24 | MUJIONO | |
| 25 | TUTUR | |
| 26 | SUAJEH | |
| 27 | BARI | |
| 28 | PAWIT | |
| 29 | SUGIONO | |
| 30 | SAPANGAT | |
| 31 | ROHMADI | |
| 32 | PRAYITNO | |
| 33 | NUR KHOLIS | |
| 34 | MUNAROH | |
| 35 | SUUDIN |