| No. | Nama | Paraf |
|---|---|---|
| 1 | DUROTUN | |
| 2 | BUDI UTOMO | |
| 3 | LISTIYATI | |
| 4 | NARDI | |
| 5 | BUDIMAN | |
| 6 | AHMAD NUR SODIK | |
| 7 | SENEN | |
| 8 | SUTIYONO | |
| 9 | WARSITO | |
| 10 | SRI WAHYUTI | |
| 11 | MUJIYONO | |
| 12 | SARMAN | |
| 13 | MAHYUNI | |
| 14 | SURYANTO | |
| 15 | NGAPIYAH | |
| 16 | MISRO | |
| 17 | SANUSI | |
| 18 | MUNDAKIR | |
| 19 | AMIN | |
| 20 | LASTARI | |
| 21 | BOTOK WALMI | |
| 22 | SOLIHIN | |
| 23 | MULUD | |
| 24 | TRISNO | |
| 25 | MUNDAKIR | |
| 26 | ARIFIN | |
| 27 | MAHRUR | |
| 28 | ENI ASARI | |
| 29 | NUNGGAL SULISTIYO | |
| 30 | MISKON |