| No. | Nama | Paraf |
|---|---|---|
| 1 | TRI IDA NURYANTI | |
| 2 | ICHSANUDIN | |
| 3 | SIYEM | |
| 4 | SYAMSUDIN | |
| 5 | TUKINI | |
| 6 | SUGIYARTO | |
| 7 | UMREK TUTIK TINGGAL | |
| 8 | SUPARTO | |
| 9 | WANDIRI | |
| 10 | BUDIYONO | |
| 11 | RUSDIYONO | |
| 12 | KASDI | |
| 13 | WIJIYANTO | |
| 14 | SUHADI | |
| 15 | AMIN SUHUDI | |
| 16 | SUMADI | |
| 17 | NGADI WALUYO | |
| 18 | TUKIYAH | |
| 19 | NURMAT | |
| 20 | MUHRONI | |
| 21 | TRI JOKO WIYATNO | |
| 22 | SUKATNO |