| No. | Nama | Paraf |
|---|---|---|
| 1 | BOTOK SLAMET | |
| 2 | KARIMUN | |
| 3 | WACHID ABROR | |
| 4 | SUROSO | |
| 5 | SARMIDI | |
| 6 | MUKAENI | |
| 7 | NUR KHAMID | |
| 8 | SUMARNO | |
| 9 | WAHYUDI | |
| 10 | JUWANTO | |
| 11 | KARMI | |
| 12 | MUNARI | |
| 13 | TARYONO | |
| 14 | MUHANI | |
| 15 | HARTONO | |
| 16 | RUWANI | |
| 17 | MUWARWAN | |
| 18 | TINI | |
| 19 | SALEH SUKAMTO | |
| 20 | URIP | |
| 21 | SURAJI | |
| 22 | SIRWANI | |
| 23 | ROPINGAT | |
| 24 | MUSIRON ABDUL DASIR | |
| 25 | SAMIYONO | |
| 26 | DAHYUNI | |
| 27 | SODI | |
| 28 | WAHMAN | |
| 29 | TURYAM | |
| 30 | WALYONO | |
| 31 | MUHAMMAD SA'BAN MAKHRUS | |
| 32 | MIFTAKHUL FAJAR MUBAROK | |
| 33 | JULROFI ISTAMAL | |
| 34 | MUKHAMMAD SOHIB | |
| 35 | AHMAD MUSTOFA | |
| 36 | RIFA'I |