| No. | Nama | Paraf |
|---|---|---|
| 1 | SANUARI | |
| 2 | MASHUN | |
| 3 | SARTANTO | |
| 4 | MUSTAKIM | |
| 5 | FATCHUROHMAN | |
| 6 | MUALIFIN | |
| 7 | ROCHIM | |
| 8 | SAWAB | |
| 9 | SARWADI | |
| 10 | JUMANGI | |
| 11 | SUPINAH | |
| 12 | MUKIDI | |
| 13 | SLAMET SANYOTO | |
| 14 | HARYANTO | |
| 15 | IRWANTO | |
| 16 | SUWARNO | |
| 17 | ASNGARI | |
| 18 | WALUYO | |
| 19 | SUTANTO | |
| 20 | TRI ZULIYANTO | |
| 21 | ASIK TORO | |
| 22 | SLAMET HARYADI | |
| 23 | UMAR | |
| 24 | SUDIRMAN | |
| 25 | MARYATI FINISTIANA | |
| 26 | TURYONO | |
| 27 | SUGIYONO |