| No. | Nama | Paraf |
|---|---|---|
| 1 | AZIZ | |
| 2 | MUJIONO | |
| 3 | RUDI HARSO | |
| 4 | BUDI PRASETYO | |
| 5 | NUNUNG AGUNG SUSIO | |
| 6 | AGUS SURYATMADI | |
| 7 | SUPARMI | |
| 8 | HUDIWARNO | |
| 9 | MAEMONAH | |
| 10 | SUDARMAN | |
| 11 | SUTRIMAH | |
| 12 | BUYONO | |
| 13 | SURIPNO | |
| 14 | SUMARLAN | |
| 15 | MUFIED AL JUWADI | |
| 16 | NURWEDI | |
| 17 | WARSUDI | |
| 18 | ISWANDI | |
| 19 | SUMARDI | |
| 20 | SLAMET KARMADI | |
| 21 | MARSIYAH | |
| 22 | HARTOYO | |
| 23 | SUYITNO | |
| 24 | SUMAENI | |
| 25 | JUMAKIYAH | |
| 26 | MUKARDI | |
| 27 | RUWADI | |
| 28 | FIARAWATI | |
| 29 | JUNARI | |
| 30 | SURIPDI | |
| 31 | SAMHADI | |
| 32 | MUNJANI | |
| 33 | PARING | |
| 34 | AKIP | |
| 35 | NURYANTO | |
| 36 | SUSILO | |
| 37 | URIP SUSANTO | |
| 38 | MANDON FEBRIYANTO | |
| 39 | ZAINAL MAKHASIN | |
| 40 | KUSWANTO | |
| 41 | SUMARNO | |
| 42 | MURSINI |