| No. | Nama | Paraf |
|---|---|---|
| 1 | TACIK IMAM KRISTIYANTO | |
| 2 | ARIF SOFYAN | |
| 3 | JASMAN | |
| 4 | SUNARTI | |
| 5 | LAMIM | |
| 6 | SUBARDIYONO | |
| 7 | ARIF PUJIANTO | |
| 8 | KAMALUDIN | |
| 9 | MARYANTO | |
| 10 | MUJIYONO | |
| 11 | RETININGSIH | |
| 12 | SARIP | |
| 13 | NGAHADI | |
| 14 | RIYANTO | |
| 15 | SARNO | |
| 16 | NAWARJO | |
| 17 | MAPAH SUMARNO | |
| 18 | NGAPIYAH | |
| 19 | WALUYO HARTONO | |
| 20 | DIDIN HARIS PURWANTO | |
| 21 | MARTONO | |
| 22 | SITI MAESAROH | |
| 23 | SUPARDI | |
| 24 | DAHROJI | |
| 25 | PADARNO | |
| 26 | LASMIN | |
| 27 | UNTUNG PUJIYANTO | |
| 28 | SUPRIHONO | |
| 29 | YOGIK FIYANTORO |