| No. | Nama | Paraf |
|---|---|---|
| 1 | AHMAD SARONO | |
| 2 | SETIYO ASRI | |
| 3 | RIYADI | |
| 4 | TRIMAH | |
| 5 | KARYANTO | |
| 6 | SLAMET KUWAT | |
| 7 | NAWIR | |
| 8 | SUWITO PON | |
| 9 | SUPRIHONO | |
| 10 | TUWADI | |
| 11 | SALNI | |
| 12 | TUJIRAN | |
| 13 | SOYIMAH | |
| 14 | MUIMAH | |
| 15 | SABAR MUSTOFA | |
| 16 | SUWARI | |
| 17 | WAHYUDI | |
| 18 | SUMARI | |
| 19 | KARWIYAN | |
| 20 | BOTOK ARIFIN | |
| 21 | TUMADI | |
| 22 | TUSAR | |
| 23 | IRWADI | |
| 24 | PARSIDI | |
| 25 | MARIADI | |
| 26 | SERWANI |