| No. | Nama | Paraf |
|---|---|---|
| 1 | ENDANG PURWANTI | |
| 2 | YAMNO | |
| 3 | TAFRIKHAN | |
| 4 | AHMAD NAHJUN | |
| 5 | NASIKUN | |
| 6 | DAHRONI | |
| 7 | ZAENAL ARIFIN | |
| 8 | SUJANGI | |
| 9 | TURYANI | |
| 10 | MUH PATONI NGATEMI | |
| 11 | AHMADI | |
| 12 | PARMIN | |
| 13 | DAWAMI | |
| 14 | SOLIKHUN | |
| 15 | CIPRONI | |
| 16 | MISLI | |
| 17 | SARDI | |
| 18 | SARINAH | |
| 19 | MARDI | |
| 20 | TOYIB | |
| 21 | ASHARI SUNDIYAR | |
| 22 | ZARKONI | |
| 23 | AHMAD TAUFIQ | |
| 24 | PAIT SLAMET | |
| 25 | RAMBAT | |
| 26 | NUR KHAMID | |
| 27 | SOHIDI | |
| 28 | ROMHANAFI | |
| 29 | BEJO | |
| 30 | MUHAMAD SODIKUN | |
| 31 | SULAIMAN | |
| 32 | SUKINEM |