| No. | Nama | Paraf |
|---|---|---|
| 1 | TUKIRIN | |
| 2 | PARYADI | |
| 3 | ASTONI | |
| 4 | TEGUH | |
| 5 | PAWIRNO | |
| 6 | MU'IN | |
| 7 | SUKIRAN | |
| 8 | SAMUDI | |
| 9 | NGABEDI | |
| 10 | KIRWANTO | |
| 11 | SUGENG | |
| 12 | BUDIONO | |
| 13 | SUMANTO | |
| 14 | KARWADI | |
| 15 | SHOLEMAN | |
| 16 | NGAPI | |
| 17 | WALTINO | |
| 18 | KASADI | |
| 19 | PONIMIN | |
| 20 | PARIYADI | |
| 21 | WALNO | |
| 22 | ISMADI | |
| 23 | WALMIN | |
| 24 | WALNO | |
| 25 | MUSLIMIN |