| No. | Nama | Paraf |
|---|---|---|
| 1 | BUDI PURNOMO | |
| 2 | VOTING TRI MARDIYANTO | |
| 3 | KUKOH | |
| 4 | ANTON | |
| 5 | ANDI | |
| 6 | MUKIYAH | |
| 7 | PARSILAH | |
| 8 | PARMIN AL SUDIRO | |
| 9 | BANGUN | |
| 10 | KEMIRAN | |
| 11 | WIRATNO | |
| 12 | TIYONO | |
| 13 | SARWONO | |
| 14 | SUKARDI | |
| 15 | SARMONO | |
| 16 | BENI UTOMO | |
| 17 | GUYUB | |
| 18 | TRUBUS | |
| 19 | SOLIKIN | |
| 20 | SUMARLAN | |
| 21 | UTORO | |
| 22 | SULIYAH | |
| 23 | SUNGADI | |
| 24 | ISMANTO | |
| 25 | RUSTAM | |
| 26 | SUKRADI | |
| 27 | DASMAN | |
| 28 | NARUH | |
| 29 | RUMIJAN | |
| 30 | SUMEDI | |
| 31 | RUSMIN | |
| 32 | WALJI | |
| 33 | SAMSIYAH | |
| 34 | SUROTO | |
| 35 | MARGONO | |
| 36 | BAGIYONO | |
| 37 | MARDIYONO | |
| 38 | YAMI | |
| 39 | KAREP | |
| 40 | WAHONO | |
| 41 | MARJAN | |
| 42 | KAYUN | |
| 43 | SUDAH | |
| 44 | KIRMAN MAHFUD ZUHRI | |
| 45 | WARNO | |
| 46 | SUPRIH | |
| 47 | PAINO | |
| 48 | LASONO | |
| 49 | SARWIYAH | |
| 50 | SUSTIKO |