| No. | Nama | Paraf |
|---|---|---|
| 1 | REFANTIO AJI | |
| 2 | TUPARWADI | |
| 3 | TUGIYANTO | |
| 4 | JUMHARI | |
| 5 | PURWANTO | |
| 6 | SUYATNO | |
| 7 | JUMAR | |
| 8 | RAMIDI | |
| 9 | MUHAIMIN | |
| 10 | PARSAN | |
| 11 | TUKINEM | |
| 12 | JUWAHIR | |
| 13 | BUNADI | |
| 14 | WAKIMAN | |
| 15 | SUJAR | |
| 16 | JUMARI | |
| 17 | JIMAN | |
| 18 | NARDI | |
| 19 | DAWUH | |
| 20 | WAIDI | |
| 21 | KLIWEN | |
| 22 | MISARI | |
| 23 | SUMARNO | |
| 24 | SUGITO | |
| 25 | SAPARMIN | |
| 26 | SARBUN | |
| 27 | SENADI | |
| 28 | SYAMUDIN | |
| 29 | JUWARMINTO | |
| 30 | RUMIDI |