| No. | Nama | Paraf |
|---|---|---|
| 1 | SURATINI | |
| 2 | PRIYANTO ADHI PRATAMA | |
| 3 | IRFAN | |
| 4 | SURATINI | |
| 5 | KARTOWIJOYO | |
| 6 | AMIN | |
| 7 | MINARTO | |
| 8 | ADHI RAHARJO | |
| 9 | SUPARLAN | |
| 10 | SLAMET RUMADI | |
| 11 | ISNAENI | |
| 12 | WARSINAH | |
| 13 | SAMIDI | |
| 14 | JUMERI | |
| 15 | TAMURI | |
| 16 | RATMAN | |
| 17 | DWI HARTANTO | |
| 18 | KARTO WIJOYO | |
| 19 | PRIYADI | |
| 20 | MUHAMMAD HANDIKA | |
| 21 | DWI SURYONO |