| No. | Nama | Paraf |
|---|---|---|
| 1 | PUDIYANTO | |
| 2 | ALI SUTOFIK | |
| 3 | AGUS SAFARI | |
| 4 | AMINAH | |
| 5 | AGUS UTADI | |
| 6 | RIYATI | |
| 7 | HADI SUTRISNO | |
| 8 | HARSONO | |
| 9 | NUR ROCHIM | |
| 10 | ROHMADIYANTO | |
| 11 | SISWO UTOMO | |
| 12 | WIDAYATI | |
| 13 | MUJIYONO | |
| 14 | KUSNIATI | |
| 15 | SUTARTI | |
| 16 | WALUYO | |
| 17 | SUPOMO | |
| 18 | PARWATI | |
| 19 | SLAMET MARSUDI | |
| 20 | RAME | |
| 21 | SUNARTI | |
| 22 | SRI GATI | |
| 23 | ANDI PRASETYO |