| No. | Nama | Paraf |
|---|---|---|
| 1 | ISROPI | |
| 2 | WAGINEM | |
| 3 | ASWAD J. | |
| 4 | SARIYEM | |
| 5 | SUTIRAH | |
| 6 | DARMINAH | |
| 7 | AAN ANWARI | |
| 8 | TRIYARNO | |
| 9 | SUSWANTO | |
| 10 | SUMINEM | |
| 11 | GANEP | |
| 12 | UNTUNG | |
| 13 | SUWARDI | |
| 14 | WAGINAH | |
| 15 | SUGIYONO | |
| 16 | SUKIYAT | |
| 17 | MEKSO BUDIYANTO | |
| 18 | UWOH | |
| 19 | SUPRIYONO | |
| 20 | TUTIK | |
| 21 | MARWADI | |
| 22 | AGUS WIBOWO |