| No. | Nama | Paraf |
|---|---|---|
| 1 | IHFANUDIN | |
| 2 | NANIK HANDAYANI | |
| 3 | DIMANTO | |
| 4 | UJI APRIYANTO | |
| 5 | SULASTRI | |
| 6 | GIYEM | |
| 7 | SAMIYEM | |
| 8 | PAIMAH | |
| 9 | KUSTRIYONO | |
| 10 | SETIAWAN | |
| 11 | SARMIN | |
| 12 | MUJITO | |
| 13 | SUPRIYANTO | |
| 14 | SUPARDI | |
| 15 | SATIMAH | |
| 16 | WALIYONO | |
| 17 | HARNO | |
| 18 | MUNARI | |
| 19 | SUWIGNYO | |
| 20 | RAME | |
| 21 | SADAR | |
| 22 | WALMIN | |
| 23 | AGUS NGADIMIN | |
| 24 | SUDADI | |
| 25 | SETU SODIKIN | |
| 26 | EKO KUAT | |
| 27 | ASMUDI | |
| 28 | ROMILAH | |
| 29 | ASROFIK | |
| 30 | SUPARMAN | |
| 31 | SUWADI | |
| 32 | SLAMET MARKUAT | |
| 33 | TUKIMAN | |
| 34 | MULYONO | |
| 35 | SUPARMAN | |
| 36 | MUDAHRI | |
| 37 | SLAMET MUHYASIN | |
| 38 | AGUS NUR ARIS | |
| 39 | MUHLISIN | |
| 40 | MUCHAROM | |
| 41 | DAHRI |