| No. | Nama | Paraf |
|---|---|---|
| 1 | WIWIN SUSILO | |
| 2 | KUWAT AFRIYANTO | |
| 3 | SWANDI RAHMAN | |
| 4 | TURYONO | |
| 5 | MINAH | |
| 6 | SURATMIN | |
| 7 | RUWADI | |
| 8 | SUMARJO | |
| 9 | NGAHADI | |
| 10 | MALEMI | |
| 11 | LENO MURADI | |
| 12 | SLAMET | |
| 13 | TEDUN FITRIYANTO | |
| 14 | SURATMI | |
| 15 | SUMARI | |
| 16 | SLAMET ARIS WIDODO | |
| 17 | TAAT ASHARI | |
| 18 | MULYATI | |
| 19 | WALSIDI | |
| 20 | SURATIN | |
| 21 | KALUNG |