| No. | Nama | Paraf |
|---|---|---|
| 1 | SUWALMAN | |
| 2 | NUR SALIM | |
| 3 | JOKO PRASETIYO | |
| 4 | LISTRI | |
| 5 | WAHYANI | |
| 6 | SIYANI | |
| 7 | JAINI | |
| 8 | SUMARNO | |
| 9 | SUWOYO | |
| 10 | DAHRI | |
| 11 | SUCIPTO | |
| 12 | WAHLANI | |
| 13 | TURUT | |
| 14 | SARNEN | |
| 15 | ASRODI | |
| 16 | MUSLIM | |
| 17 | NGAYIYONO | |
| 18 | SAIDI | |
| 19 | SUPRIYONO | |
| 20 | JUWARI | |
| 21 | JASWADI | |
| 22 | SURANDI | |
| 23 | AHMAD TAKWIN | |
| 24 | MAT SODIKIN | |
| 25 | PARYOTO | |
| 26 | SUGIYONO | |
| 27 | TAAT BUDI PRIHATIN | |
| 28 | ROFI |