| No. | Nama | Paraf |
|---|---|---|
| 1 | GUS ROHEDI | |
| 2 | ZUNI YANTO | |
| 3 | SUWITO | |
| 4 | TURUT | |
| 5 | MUNDJIJAT | |
| 6 | MARSIDAH | |
| 7 | WALSIDI | |
| 8 | RAMIJAN | |
| 9 | SUGIMIN | |
| 10 | SUTINAH | |
| 11 | PONIMIN | |
| 12 | TRISNO | |
| 13 | WAKIMIN | |
| 14 | TUKIMAN | |
| 15 | SUMIRAH | |
| 16 | SUSENO | |
| 17 | GIMIN | |
| 18 | MARJUDI | |
| 19 | SURATMAN | |
| 20 | NGADIRAN | |
| 21 | MARSUDI | |
| 22 | PURYADI | |
| 23 | SUGENG | |
| 24 | ROMLAN | |
| 25 | MARIYANTO | |
| 26 | JENI NURSOFYAN |