| No. | Nama | Paraf |
|---|---|---|
| 1 | SLAMET ROMANDI | |
| 2 | HENDY SETIAWAN | |
| 3 | SELAMET PURWANTO | |
| 4 | URIP | |
| 5 | SUTOTO | |
| 6 | SUDADI SLAMET | |
| 7 | SARJITO | |
| 8 | DARMIN | |
| 9 | PUJIYATNO | |
| 10 | DAHMADI | |
| 11 | RIAN KOSASIH | |
| 12 | MURYANTO | |
| 13 | SUBLITO | |
| 14 | SULAMTO | |
| 15 | MAEMANAH | |
| 16 | WARDOYO | |
| 17 | REJANI | |
| 18 | SUNIYO | |
| 19 | MARYOTO | |
| 20 | WAHONO | |
| 21 | MARIYO | |
| 22 | KASIYEM | |
| 23 | NABSIYAH | |
| 24 | PAWIT | |
| 25 | SURANTO | |
| 26 | RIYANTO | |
| 27 | PRIYONO | |
| 28 | RAHAYUNING SLAMET | |
| 29 | A. SUSIYONO | |
| 30 | NUR AZIZ |