| No. | Nama | Paraf |
|---|---|---|
| 1 | MUKO SUWITO SLAMET | |
| 2 | MULYONO | |
| 3 | SUWITO | |
| 4 | TRIYANTO | |
| 5 | SALAMAH | |
| 6 | SRI KUWATO | |
| 7 | SARIMPI | |
| 8 | NGATIMIN | |
| 9 | MUNAJAT | |
| 10 | SURIMIN | |
| 11 | ROMIYADI | |
| 12 | NGADIMIN | |
| 13 | YAMIDI | |
| 14 | NGABEDI | |
| 15 | TUKIMAH | |
| 16 | WITONO | |
| 17 | SUKAME | |
| 18 | YAMINAH | |
| 19 | TUKIMIN | |
| 20 | SUPRADI | |
| 21 | BUADI | |
| 22 | KUKUH NURTO | |
| 23 | DADIYO | |
| 24 | RATEMI |