| No. | Nama | Paraf |
|---|---|---|
| 1 | SAIFUL ARBANI | |
| 2 | RUPIYATI | |
| 3 | SUMIYATI | |
| 4 | RIKI ROSADI | |
| 5 | JUMIYAH | |
| 6 | MUJIYONO | |
| 7 | AGUS SUKOCO | |
| 8 | SUBARI | |
| 9 | SARYOTO | |
| 10 | NGATEMIN | |
| 11 | PONIRAH | |
| 12 | MISJAN | |
| 13 | SARMUDI | |
| 14 | MULYOREJO | |
| 15 | WAHRONI | |
| 16 | SLAMET ROHMAT | |
| 17 | SUKIMIN | |
| 18 | SUPAMI | |
| 19 | RUSIONO | |
| 20 | SUGENG SETIANTO | |
| 21 | SLAMET KIRYANI | |
| 22 | AAN RUDIAN | |
| 23 | SUKAMTO | |
| 24 | MUH DAHMAN | |
| 25 | DAHYONO | |
| 26 | SARPONI | |
| 27 | TRI SISWANTO | |
| 28 | MUHAMMAD FUAD HASYIM | |
| 29 | QOMARUDIN |