| No. | Nama | Paraf |
|---|---|---|
| 1 | WALSIDI | |
| 2 | URIP MUJIMAN | |
| 3 | TURNINGSIH | |
| 4 | AHMAD SODIKIN | |
| 5 | WIDAWATI | |
| 6 | WALUYONO | |
| 7 | ZAINAL IMTIKHAN | |
| 8 | TITA WIDYANINGSIH | |
| 9 | BUDIYANTO | |
| 10 | HARMADI | |
| 11 | ROHMAD SOLIHUN | |
| 12 | YUSMANTO | |
| 13 | SUMARI | |
| 14 | NGAHADI | |
| 15 | TASMIN | |
| 16 | SUWADI | |
| 17 | WADIYONO | |
| 18 | SUGITO | |
| 19 | ROHIM | |
| 20 | MURADI | |
| 21 | NGAHADI | |
| 22 | SAWA UN | |
| 23 | RUSDI | |
| 24 | SUPANGAT | |
| 25 | SIYAMIN | |
| 26 | SUPRIYANTO | |
| 27 | SUKADAR | |
| 28 | SUMARIYATI | |
| 29 | MISDI | |
| 30 | WALJITO | |
| 31 | SUTRISNO | |
| 32 | AMAD ISRONI | |
| 33 | SAMSUDIN |