| No. | Nama | Paraf |
|---|---|---|
| 1 | IMBANG | |
| 2 | IMRON PRAJANTO | |
| 3 | ASIH RIATI | |
| 4 | TRI PRATINI | |
| 5 | MUSLIMAH | |
| 6 | SUYANTO | |
| 7 | SUPARDIYONO | |
| 8 | BUNADI | |
| 9 | IRFAN DOMINGGUS PASENSY | |
| 10 | NURLASIN | |
| 11 | NANDHAR MUSTAKIM | |
| 12 | FATHUL MUNIR | |
| 13 | DJAMIL | |
| 14 | FAESAL HIDAYAT | |
| 15 | LUKMAN HARUN | |
| 16 | NIKO DUWI WIJAYANTO | |
| 17 | SUPARJO | |
| 18 | NGATIJO | |
| 19 | RUMADI | |
| 20 | BUDIYANTO | |
| 21 | SUKARSIH | |
| 22 | EDI SUMIYAK | |
| 23 | SUMARGIYONO | |
| 24 | SUTARDJO | |
| 25 | MISLAN | |
| 26 | SATINI | |
| 27 | SARDIYANTO | |
| 28 | BASUKI RAKHMAT AL AMIN | |
| 29 | PARSIYAH | |
| 30 | TARIYOTO | |
| 31 | MAHRIBI | |
| 32 | RUSLAN | |
| 33 | MUHAMAD SOHEH | |
| 34 | JUMINI | |
| 35 | RIYONO | |
| 36 | NATUN | |
| 37 | SUNARI | |
| 38 | SRI WAHYUNI | |
| 39 | HARI SYAFRUDIN | |
| 40 | ROCHMAD | |
| 41 | DONI MARTARIYAN | |
| 42 | ERWIN SETYO PRABOWO |