| No. | Nama | Paraf |
|---|---|---|
| 1 | RUMIYATI | |
| 2 | SOLIHATUN | |
| 3 | MUJITO | |
| 4 | PARYONO | |
| 5 | FAI SAROFAN | |
| 6 | MASHUDI | |
| 7 | SIHMI | |
| 8 | SUGI SARWOTO | |
| 9 | ARIYONO | |
| 10 | TUMARDI | |
| 11 | SUPARTI | |
| 12 | SULAEMAN | |
| 13 | PONITI | |
| 14 | SUJIYAT | |
| 15 | SITI ARIYATUN | |
| 16 | SULIYAH | |
| 17 | SUYATIN | |
| 18 | SUPARMI | |
| 19 | JUWARNO | |
| 20 | ZAITUL ROCHMI | |
| 21 | IHSANUDIN | |
| 22 | ROHYATNO | |
| 23 | DIYONO | |
| 24 | NURCHOLIS | |
| 25 | SOLIKHIN | |
| 26 | AMIRUDIN SYARIF | |
| 27 | NUR SAID | |
| 28 | SIHMI | |
| 29 | SUWARNO | |
| 30 | NASOKHA | |
| 31 | AMAT SANUSI | |
| 32 | PUJIYATI | |
| 33 | MUJIYAT | |
| 34 | IMAM SLAMET | |
| 35 | SIRAT | |
| 36 | RUMINAH |