| No. | Nama | Paraf |
|---|---|---|
| 1 | MUHAMMAD YUSUF ALFATAH | |
| 2 | RIYANTO | |
| 3 | ARIYA SUMANA | |
| 4 | SARYANTO | |
| 5 | MUJI SLAMET | |
| 6 | UNTUNG | |
| 7 | SRIYONO | |
| 8 | MUJIYONO | |
| 9 | SANIYEM | |
| 10 | RAMINI | |
| 11 | WALYUDI | |
| 12 | PONIMIN | |
| 13 | NYONO | |
| 14 | MISYAMTI | |
| 15 | MUBARI | |
| 16 | SATIMAH | |
| 17 | WARYONO | |
| 18 | TUKIRAH | |
| 19 | MUTAAT | |
| 20 | PRAYITNO | |
| 21 | SUPARNI | |
| 22 | SUTOPO | |
| 23 | HERI SUTOPO | |
| 24 | SUTRISNO | |
| 25 | GENDRO WICORO | |
| 26 | YUKADIYONO | |
| 27 | RUMADI | |
| 28 | JUMADI |