| No. | Nama | Paraf |
|---|---|---|
| 1 | MUHAMAD RIZQI | |
| 2 | SUJIYONO | |
| 3 | SAKIR | |
| 4 | SUYOTO | |
| 5 | SURYONO | |
| 6 | KABUL MULYONO SLAMET | |
| 7 | SURANTO | |
| 8 | KUMIYAH | |
| 9 | GONDEL | |
| 10 | SUPYAN | |
| 11 | PARJO | |
| 12 | TUKIMAN | |
| 13 | SEMIN | |
| 14 | MISRAN | |
| 15 | MISKAM | |
| 16 | GLEPOT | |
| 17 | NGAIDI | |
| 18 | MUHTARI | |
| 19 | SUPANDI | |
| 20 | SIRAN | |
| 21 | SUPARNO | |
| 22 | TUKIMIN | |
| 23 | SARMIN | |
| 24 | WALJITO | |
| 25 | SARINAH |