| No. | Nama | Paraf |
|---|---|---|
| 1 | ARIYANTO | |
| 2 | WARYANTO | |
| 3 | AHMAD TOLHAH MABARO | |
| 4 | RIZKIYANTO | |
| 5 | SIYONO | |
| 6 | KRISTANTO | |
| 7 | NURHADI | |
| 8 | PAIMAN | |
| 9 | WALMI | |
| 10 | SUGIRI | |
| 11 | TURAH | |
| 12 | GENEP | |
| 13 | NGADIMAN | |
| 14 | BUDI | |
| 15 | SALAMUN | |
| 16 | TARSONO | |
| 17 | SAYONO | |
| 18 | SUKIYAT | |
| 19 | SUKADAR | |
| 20 | KASIYAN | |
| 21 | WASINAH | |
| 22 | HARIYANTO | |
| 23 | ARIS SUSIYADI | |
| 24 | MUSARI | |
| 25 | BASORI | |
| 26 | SAROSA | |
| 27 | SUMARTO | |
| 28 | TENTREM |