| No. | Nama | Paraf |
|---|---|---|
| 1 | DASRO | |
| 2 | SRI HARTATI | |
| 3 | SURATMI | |
| 4 | ACHMAD SUJADI | |
| 5 | SAMINAH | |
| 6 | AHMAD IRFAI | |
| 7 | RUWADI | |
| 8 | SARLAN | |
| 9 | NGADIHARJO. | |
| 10 | NGADIMIN | |
| 11 | DAHRI | |
| 12 | MUJARI | |
| 13 | WALUYO | |
| 14 | SUMIRAN | |
| 15 | MUKIRAN | |
| 16 | SARIYONO | |
| 17 | WAHADI | |
| 18 | SAID | |
| 19 | SLAMET | |
| 20 | MUDJIONO | |
| 21 | MUNJIAT | |
| 22 | SURAJI | |
| 23 | SUPARMIN | |
| 24 | KA'AMSALIL LU'LU'IL MAKNUN | |
| 25 | MUDAKIR | |
| 26 | TRIMA | |
| 27 | SULISTIYO | |
| 28 | SUMADI | |
| 29 | SUKIRMAN | |
| 30 | RAHAYU SLAMET |