| No. | Nama | Paraf |
|---|---|---|
| 1 | MUNADJAT | |
| 2 | TUMINI | |
| 3 | AMRIH WASKITO | |
| 4 | EMHA GUNAWAN | |
| 5 | IMAM ARIFIN | |
| 6 | MUCHLASIN | |
| 7 | SUWALNO | |
| 8 | PARMINI | |
| 9 | TUKIDAH | |
| 10 | SARMUDI | |
| 11 | MUHSINUN | |
| 12 | MENTAR MURSITO | |
| 13 | TUKIMAN | |
| 14 | PRAYOGO | |
| 15 | RAMIJO | |
| 16 | UMYUNG MARSA'AT | |
| 17 | EMAN SUKISMANTO | |
| 18 | ZAENAB | |
| 19 | ARINTOKO | |
| 20 | MUYADI | |
| 21 | NUR FATACHIN | |
| 22 | SUPARIYONO | |
| 23 | DJUMADI | |
| 24 | CHOIRI | |
| 25 | ROCHANI | |
| 26 | SUTIKNO | |
| 27 | DARNO | |
| 28 | MANIJEM | |
| 29 | SUTOPO | |
| 30 | SUKADI | |
| 31 | SUTRISNO | |
| 32 | SLAMET | |
| 33 | TEGUH SUCIPTO | |
| 34 | MUJIMAN | |
| 35 | SULISTIYA | |
| 36 | SARDONO | |
| 37 | GOFARUDIN |