| No. | Nama | Paraf |
|---|---|---|
| 1 | WALDIYONO | |
| 2 | SAMSUL ABIDIN | |
| 3 | MUH SAFIUDIN | |
| 4 | SLAMET RISDIANTO | |
| 5 | KARMINI | |
| 6 | SEMI | |
| 7 | ISTACHORI | |
| 8 | RIYONO | |
| 9 | SUGENG SANTOSA | |
| 10 | SETYO BUDI TJAHYANA | |
| 11 | MARJANA | |
| 12 | SURYADI | |
| 13 | RUWIYATI | |
| 14 | MUHLASIN | |
| 15 | BASORI | |
| 16 | CHOERUDIN | |
| 17 | TUPIYAH | |
| 18 | MUCHAERUN | |
| 19 | MUCHIBUN | |
| 20 | SISWANTO | |
| 21 | MUHYANI | |
| 22 | ARIF ROHMAN | |
| 23 | SUYITNO | |
| 24 | HIDAYAT | |
| 25 | IRFA'I | |
| 26 | ZUMARO | |
| 27 | TOYEB | |
| 28 | SUMARNO |