| No. | Nama | Paraf |
|---|---|---|
| 1 | SUPRIHATIN | |
| 2 | JUMARI | |
| 3 | HASIM | |
| 4 | JUMARI | |
| 5 | PRIHWANTI | |
| 6 | SUTANTO | |
| 7 | DAHLAN | |
| 8 | WALTIYAH | |
| 9 | RUWADI | |
| 10 | SETIYONO | |
| 11 | SULISTIYONO | |
| 12 | PONIDI | |
| 13 | SUIPTO | |
| 14 | WAHYO | |
| 15 | YATINAH | |
| 16 | WAGIYO | |
| 17 | MUGIWAR | |
| 18 | YATMAN | |
| 19 | SAROJI | |
| 20 | TUMINAH | |
| 21 | LUSMAN | |
| 22 | RUSIO RASIM | |
| 23 | SUPARYANTO | |
| 24 | SUGIYANTO | |
| 25 | ROMDONI |