| No. | Nama | Paraf |
|---|---|---|
| 1 | PONIRAH | |
| 2 | LUTFI MABRURI | |
| 3 | SUI | |
| 4 | ISTADI | |
| 5 | SURAHMAN | |
| 6 | AMINAH | |
| 7 | SUTRISNO | |
| 8 | TRIYANTO | |
| 9 | SUPRIHADI | |
| 10 | MARTO NGAHADI | |
| 11 | SUDIMAN | |
| 12 | MUJITO | |
| 13 | PARMUDI | |
| 14 | BUDIONO | |
| 15 | ISNAENI | |
| 16 | ALIMAH | |
| 17 | SRI LESTARI | |
| 18 | TOTOK RIYADI | |
| 19 | HADI SUSENO | |
| 20 | BAMBANG KISWORO | |
| 21 | ANDI ZULIYANTO | |
| 22 | LUTFI MABRURI | |
| 23 | SUNGKONO | |
| 24 | CAHYO JAYANTO |