| No. | Nama | Paraf |
|---|---|---|
| 1 | MUTOYIM | |
| 2 | YUSUF ISBANI | |
| 3 | SARINI | |
| 4 | SAMSUL MA'ARIF | |
| 5 | NURYANTO | |
| 6 | WAHIDI | |
| 7 | SISWONO | |
| 8 | ARIF SUGIYANTO | |
| 9 | HADI WIYOTO | |
| 10 | HADI TARYONO | |
| 11 | SUMARMI | |
| 12 | NUR ACHMAD | |
| 13 | SUGANDI | |
| 14 | SUTRISMAN | |
| 15 | SUPARDI | |
| 16 | AMAT MIHARJO | |
| 17 | SUWADJI | |
| 18 | TUTUR | |
| 19 | SUTANTO | |
| 20 | SUBARNO | |
| 21 | DARMADI | |
| 22 | SUGITO | |
| 23 | MUSAFAK | |
| 24 | SUPARDI |