| No. | Nama | Paraf |
|---|---|---|
| 1 | WALUYO AKHMAD ZAENUDIN | |
| 2 | PUJIANTO | |
| 3 | TRI HARYADI | |
| 4 | MUDIYONO | |
| 5 | WARIDI AFANDI | |
| 6 | SUNARNI | |
| 7 | BUDIDOYO | |
| 8 | RUJITO | |
| 9 | SUROYO | |
| 10 | MINTARJO | |
| 11 | YASMURI | |
| 12 | MUTILAH | |
| 13 | MUHADI | |
| 14 | KARTO KISUT | |
| 15 | SUTRISNO | |
| 16 | TURMADI | |
| 17 | SUROSO | |
| 18 | NANGSIDI | |
| 19 | SETIYAWAN | |
| 20 | PROMBALI | |
| 21 | BASUKI WIBOWO | |
| 22 | SUMARDI | |
| 23 | PERNAH | |
| 24 | SUTOTO | |
| 25 | YASMURI | |
| 26 | RUKIYAH | |
| 27 | KARTOKISUT |