| No. | Nama | Paraf |
|---|---|---|
| 1 | ABU DARIN | |
| 2 | JUWANTO | |
| 3 | NURJIYANTO | |
| 4 | SUTRISNO | |
| 5 | ROHMAT HIDAYAH | |
| 6 | MIYATI | |
| 7 | TUNTUM | |
| 8 | CASNO | |
| 9 | SOLICHUN | |
| 10 | SUNYOTO | |
| 11 | MURDIYATI | |
| 12 | AHMAD KOLIPAH | |
| 13 | SUROTO | |
| 14 | SUKARNO | |
| 15 | SURAWAN | |
| 16 | BAKDI | |
| 17 | HARIYOTO | |
| 18 | MUPANGAT | |
| 19 | MUGITO | |
| 20 | LASTARI | |
| 21 | SUDAHLAN | |
| 22 | ABDUL AZIZ | |
| 23 | WARTOYO | |
| 24 | MOH RONI | |
| 25 | YASRI | |
| 26 | TRIMAH | |
| 27 | SULASIYEM | |
| 28 | WIDARTO | |
| 29 | ROMADHON | |
| 30 | NURCHAMID | |
| 31 | MARYATUN | |
| 32 | BUDIYANTO | |
| 33 | SAEUN | |
| 34 | ARIF RACHMAN HAKIM |