| No. | Nama | Paraf |
|---|---|---|
| 1 | KABUL SUSANTO | |
| 2 | SARMAN | |
| 3 | TUWARIYAH | |
| 4 | JUMARIYAH | |
| 5 | DURIYAT | |
| 6 | FERY RAHMANTO | |
| 7 | MARYONO | |
| 8 | DAHMAN | |
| 9 | WIDODO JANTO WIJAKSONO | |
| 10 | ROKHMAT | |
| 11 | BADIYO | |
| 12 | PARNI | |
| 13 | JUMARI | |
| 14 | TUWARIYAH | |
| 15 | SUKIRMIN | |
| 16 | SLAMET DAHURI | |
| 17 | KIRMADI | |
| 18 | SARTINAH | |
| 19 | TUMIN | |
| 20 | SUPARMAN | |
| 21 | MUJIYANTO | |
| 22 | WALYUDI | |
| 23 | SUKARDI | |
| 24 | WAHMUDI | |
| 25 | RUNDIYAN | |
| 26 | SUDARMAN | |
| 27 | SUMARYANTO | |
| 28 | MUHJAMAL | |
| 29 | MUJIYANTO | |
| 30 | SUDIYAR | |
| 31 | SUBRI SUSANTO | |
| 32 | WIWIK RUDIYANTO | |
| 33 | WALDIYONO | |
| 34 | SUROHMAT | |
| 35 | KIRWADI | |
| 36 | WIWIK RUDIYANTO | |
| 37 | IRFAN FAHRODIN | |
| 38 | DWI SETIARSONO | |
| 39 | AGUS PRASETYO |