| No. | Nama | Paraf |
|---|---|---|
| 1 | WALIYAH | |
| 2 | MARSIDAH | |
| 3 | MUHAMMAD KHAMDANI | |
| 4 | SITI MUSTAQIMAH | |
| 5 | NYONO | |
| 6 | M. SHODIQUN | |
| 7 | ROMIYAH | |
| 8 | SUPARMI | |
| 9 | M. SETYO BUDI SANTOSO | |
| 10 | M.ISRONI EFENDI | |
| 11 | MUHAMMAD FAHRUR ROZI | |
| 12 | GUNAWAN | |
| 13 | SUGIYANTO | |
| 14 | M. ROKHANI | |
| 15 | ASFIHANI | |
| 16 | MUDHOFA | |
| 17 | LUKMAN | |
| 18 | SUTARNO | |
| 19 | PAING | |
| 20 | NUR YANI | |
| 21 | SLAMET SALIM | |
| 22 | RAMIJEM | |
| 23 | MARSIYAH | |
| 24 | SARTOYO | |
| 25 | SUBARI | |
| 26 | SARMIN | |
| 27 | NASRONAH | |
| 28 | PAWIT | |
| 29 | DAHMIN | |
| 30 | NGABEDI | |
| 31 | SUYADI | |
| 32 | SALBIYAH | |
| 33 | BASIRUN | |
| 34 | M. SUPRIYADI | |
| 35 | BAROJI | |
| 36 | SUMEH | |
| 37 | BOTOK | |
| 38 | SURAHMIN | |
| 39 | PARMAN | |
| 40 | DAHONO | |
| 41 | SUBAKIR | |
| 42 | SISWANTO | |
| 43 | TARMIYAH | |
| 44 | WALJU | |
| 45 | MUHLASIN | |
| 46 | JAHWADI | |
| 47 | RIYONO | |
| 48 | ZAENAL MA'ARIF | |
| 49 | SUPRIH | |
| 50 | MUSTANIR | |
| 51 | MUHRI | |
| 52 | ROMADLON | |
| 53 | DAHWADI | |
| 54 | MUHAMAD RIDLONI | |
| 55 | PAWIT | |
| 56 | WALUYO | |
| 57 | MUNJANI | |
| 58 | MUHAMAD HARIYANTO | |
| 59 | MUHAMMAD MUSLIH | |
| 60 | SUDARSONO | |
| 61 | MULADI | |
| 62 | M. SHOLIHUN | |
| 63 | BUDIYONO | |
| 64 | NUR KHOLIS | |
| 65 | FENDI MARWANTO | |
| 66 | SUKIRNO |