| No. | Nama | Paraf |
|---|---|---|
| 1 | DALIYO | |
| 2 | KELIK HARYANTO | |
| 3 | SUDIMAN | |
| 4 | MUTINAH | |
| 5 | PONIYEM | |
| 6 | LASTIYANTO | |
| 7 | RUKUN | |
| 8 | TUMADI | |
| 9 | AMIYATUN | |
| 10 | SUDIBYO | |
| 11 | ASIH | |
| 12 | PAWIT SUDARSONO | |
| 13 | NURYANTO | |
| 14 | DJUMADI | |
| 15 | PRIYO | |
| 16 | SUKOYO | |
| 17 | MUHDAHRONI | |
| 18 | SUWANDI | |
| 19 | SARKUN | |
| 20 | SUWITODIKROMO | |
| 21 | SUGENG | |
| 22 | WAHYUDI | |
| 23 | DULUR | |
| 24 | SUWAHYO | |
| 25 | ENI YULIYATI | |
| 26 | ROMANDHON | |
| 27 | WALYONO |