| No. | Nama | Paraf |
|---|---|---|
| 1 | TUWARNI | |
| 2 | SRI ZAENAH | |
| 3 | ABD. GHOFAR | |
| 4 | HERMANSYAH | |
| 5 | ATMO PRASETYO | |
| 6 | MULYONO | |
| 7 | SARIWAN BUDIYONO | |
| 8 | SARWANTO | |
| 9 | SURAPIN | |
| 10 | SUPRIYANTO | |
| 11 | JUWALI | |
| 12 | PARDI | |
| 13 | BAMBANG SETIAWAN | |
| 14 | SUKITO | |
| 15 | MURADI | |
| 16 | SENU | |
| 17 | SAPARDI | |
| 18 | WALDI | |
| 19 | SUYONO | |
| 20 | NGATMIN | |
| 21 | SLAMET | |
| 22 | LUTMAN | |
| 23 | WARNADI | |
| 24 | ZUL FARIDA | |
| 25 | NGAHADI | |
| 26 | SURONTO | |
| 27 | MISYADI | |
| 28 | SUPARTONO | |
| 29 | SUBARI |