| No. | Nama | Paraf |
|---|---|---|
| 1 | SUWATI | |
| 2 | PUJI LESTARI | |
| 3 | SITI MUKAROMAH | |
| 4 | MUJIYATI | |
| 5 | FATONI | |
| 6 | SUNDARI | |
| 7 | HERI WITONO | |
| 8 | MARIYADI | |
| 9 | PANGAT | |
| 10 | SUMINI | |
| 11 | YATEMO | |
| 12 | SUNARKO | |
| 13 | SUTRISMINAH | |
| 14 | SUDARMAN | |
| 15 | IRAWAN | |
| 16 | ZOGA BAGUS FITRIYANTO | |
| 17 | SUGIRI | |
| 18 | MURSIDI | |
| 19 | SURONO | |
| 20 | SARDI | |
| 21 | SUTORO | |
| 22 | ARI SULISTIYONO | |
| 23 | AGUS RIYANTO |