| No. | Nama | Paraf |
|---|---|---|
| 1 | ACHMAD SHODIQ | |
| 2 | DAWUT | |
| 3 | EKO SETIYAWAN | |
| 4 | HARIYANTO | |
| 5 | DARSINAH | |
| 6 | WALIYEM | |
| 7 | MAKMOER | |
| 8 | SLAMET DALDIRI | |
| 9 | SUKIRMAN | |
| 10 | TOHARI | |
| 11 | MASTURI | |
| 12 | MUH SYARONI | |
| 13 | MARDIYANTO | |
| 14 | GUNAWAN | |
| 15 | MARSIDI | |
| 16 | SUKIRMAN | |
| 17 | SURYANTO | |
| 18 | MUHADIS | |
| 19 | ASHURI | |
| 20 | AHMAD MUHADLIK | |
| 21 | BAWONO | |
| 22 | MUHAMAD FAIZUN | |
| 23 | SAINI | |
| 24 | ZAENAL ARIFIN | |
| 25 | SARIFAH | |
| 26 | INDARTA EKAYOGA.U.W | |
| 27 | SU ENGGAR |