| No. | Nama | Paraf |
|---|---|---|
| 1 | NUR SALIM | |
| 2 | PARIYATI | |
| 3 | MURTINAH | |
| 4 | SUGIYANTO | |
| 5 | MUJAHIDIN | |
| 6 | WIDODO | |
| 7 | WALUYO | |
| 8 | ANDI MUSTOFA | |
| 9 | FINAS ARIYA HAMID | |
| 10 | TAMINAH | |
| 11 | WAHONO | |
| 12 | CHAMIDAH | |
| 13 | MURDHIYAH | |
| 14 | TAMRIN | |
| 15 | SARBINI | |
| 16 | MUARIFIN | |
| 17 | MATOBIIN | |
| 18 | DARYONO | |
| 19 | YAMINI | |
| 20 | SUKATI | |
| 21 | SRI PITOYO | |
| 22 | MARTIAH | |
| 23 | MATRUHIDIN | |
| 24 | MARYATI | |
| 25 | SAMUDI | |
| 26 | MUJIYONO | |
| 27 | HARIYANTO | |
| 28 | EDI PURWANTO | |
| 29 | SURANTO | |
| 30 | PURWADI | |
| 31 | SURATI | |
| 32 | DARNO | |
| 33 | RUWIYONO | |
| 34 | UUN HASTABI |