| No. | Nama | Paraf |
|---|---|---|
| 1 | SUMARYATI | |
| 2 | SRI SULASTRI | |
| 3 | KASMIN | |
| 4 | AAN HALIDIN | |
| 5 | ISMAWAN | |
| 6 | SUKARMAN | |
| 7 | SURANI | |
| 8 | SUWARNO | |
| 9 | DWI ASTANI | |
| 10 | YUSMIN | |
| 11 | SUKARMIN | |
| 12 | WALIDI | |
| 13 | KASWADI | |
| 14 | SANUSI | |
| 15 | TUWARDI | |
| 16 | SUWADI | |
| 17 | SISWANDI | |
| 18 | SUPRIYONO | |
| 19 | SAPARDI | |
| 20 | RUSYANTO | |
| 21 | SUBETI | |
| 22 | KABUL |