| No. | Nama | Paraf |
|---|---|---|
| 1 | ANANG SETIYAWAN | |
| 2 | MUKHAERODIN | |
| 3 | ROFI'I | |
| 4 | NURUL YAKIN | |
| 5 | SAFI'IN | |
| 6 | FAHRODIN | |
| 7 | SUWALNO | |
| 8 | JUNARNO | |
| 9 | IGNATIUS DE LOYOLA AGIL ADHI SADEWO | |
| 10 | AGUS FATHURRAHMAN | |
| 11 | IMROATUN | |
| 12 | JUKI | |
| 13 | PONIKIR | |
| 14 | SUMARJAN | |
| 15 | SUBARI | |
| 16 | MUHAMAD MURNI | |
| 17 | PRAWITO | |
| 18 | SURAT | |
| 19 | MARYONO | |
| 20 | WALUYO JATI | |
| 21 | ABU SOFYAN | |
| 22 | H. SUNARJO | |
| 23 | SUGENG | |
| 24 | SUWARNO AL ANWARNO | |
| 25 | PAWIT | |
| 26 | WALDI | |
| 27 | MUNTAHA | |
| 28 | UTOMO | |
| 29 | MIDAH | |
| 30 | MADI | |
| 31 | SARNO | |
| 32 | RUWADI | |
| 33 | MUNARNO | |
| 34 | SARNO | |
| 35 | SISWANTO | |
| 36 | WAHONO. | |
| 37 | KOLLISAH | |
| 38 | WALTIYAH | |
| 39 | SUGINO | |
| 40 | SUROTO | |
| 41 | ABI SAID | |
| 42 | SUDARNO | |
| 43 | SAMSUDIN | |
| 44 | WARIYO | |
| 45 | URIP | |
| 46 | SUDIATMOKO | |
| 47 | MUSIDI | |
| 48 | YAMONO | |
| 49 | EDI YUWONO | |
| 50 | MAT KHOIRODIN | |
| 51 | TRI PUJI KARTIYO | |
| 52 | SLAMET PURYONO | |
| 53 | AHMAD TOLHAH | |
| 54 | MUGITO | |
| 55 | SAEFUL KOSIM | |
| 56 | TEMI | |
| 57 | BUDIYATI | |
| 58 | SRI HANDAYANI | |
| 59 | MUSAFAK | |
| 60 | SUMARSONO | |
| 61 | PARYUDI |