| No. | Nama | Paraf |
|---|---|---|
| 1 | YUDIT MARDANIYANTO | |
| 2 | DWI HANDOKO | |
| 3 | BUDI TRI TANTO | |
| 4 | AHMAD TABARONI | |
| 5 | RAHMANTO | |
| 6 | BUDIYANTO | |
| 7 | SLAMET | |
| 8 | MARSUDI | |
| 9 | MARIYANI | |
| 10 | SARIYONO | |
| 11 | HANDI SUKARNO | |
| 12 | SUPARDI | |
| 13 | ILHARI | |
| 14 | SUDARWADI | |
| 15 | SARWADI | |
| 16 | SUPIYAH | |
| 17 | SUYUDI | |
| 18 | MUHTAR SA'RONI | |
| 19 | MURSIDI | |
| 20 | IMBUH ROCHANI | |
| 21 | PARLAN | |
| 22 | MADIYANA | |
| 23 | JARWANI | |
| 24 | SARDIJONO | |
| 25 | SARMAN | |
| 26 | SITI KOMARIYAH | |
| 27 | AMINI | |
| 28 | ROBI'IS | |
| 29 | DENI KURNIYAWAN | |
| 30 | RIYANTO | |
| 31 | ASMU'AT | |
| 32 | SLAMET | |
| 33 | AFIF KHUDIN | |
| 34 | MATOBII | |
| 35 | FATRODIN |