| No. | Nama | Paraf |
|---|---|---|
| 1 | ASHADI | |
| 2 | ANTON MAHENDRA | |
| 3 | SOLIHATUN | |
| 4 | PARMIDI | |
| 5 | JUWANTO | |
| 6 | KAMIDIN | |
| 7 | SAYUTI | |
| 8 | MUIS RAJAB | |
| 9 | WAKHIT | |
| 10 | SLAMET ASRORI | |
| 11 | SUWADI | |
| 12 | ABDUL AZIS | |
| 13 | REJEB | |
| 14 | RUMADI | |
| 15 | KABUL SUWARNO | |
| 16 | SUJI | |
| 17 | SARYONO | |
| 18 | SUDIYANTO | |
| 19 | MUJI SLAMET | |
| 20 | MUJITO | |
| 21 | PARWOTO | |
| 22 | SUYONO | |
| 23 | AGUS RAHADI | |
| 24 | PARWITO | |
| 25 | RAJIYEM | |
| 26 | MUHAMMAD AGUNG PRABOWO | |
| 27 | SETIYAWAN | |
| 28 | PARWADI | |
| 29 | NURYONO | |
| 30 | KUWATMAN |