| No. | Nama | Paraf |
|---|---|---|
| 1 | TUTIK HARWATI | |
| 2 | MUJIYATI | |
| 3 | SUDIYAT | |
| 4 | ISNADI | |
| 5 | BUDI SUNYATA | |
| 6 | AHMAT SOLIHIN | |
| 7 | MARSONO | |
| 8 | TEGUH ISTAAT | |
| 9 | LASONO | |
| 10 | IMBUH | |
| 11 | SATIMAH | |
| 12 | USMANTO | |
| 13 | YATIN | |
| 14 | KADIS | |
| 15 | USREK | |
| 16 | MUCHLIS | |
| 17 | SUDARMO | |
| 18 | TUMINEM | |
| 19 | JUMINO | |
| 20 | ISTACHORI | |
| 21 | AMIN | |
| 22 | PURWANTO | |
| 23 | MARSUDI | |
| 24 | JOKO SUSILO | |
| 25 | WAHONO | |
| 26 | LUKMAN YAZET |