| No. | Nama | Paraf |
|---|---|---|
| 1 | JUWARI | |
| 2 | NARDI | |
| 3 | MBAMBAN | |
| 4 | NANIK TURNANNY | |
| 5 | ARIP | |
| 6 | SARYONO | |
| 7 | JUWARI | |
| 8 | AMBAR SULISTIYO | |
| 9 | NUR CHOLIS | |
| 10 | WAGINO | |
| 11 | KUHTIYONO | |
| 12 | MARDI | |
| 13 | JUMADI | |
| 14 | NGATEMAN | |
| 15 | DAHMIN | |
| 16 | SLAMET SUBARISMAN | |
| 17 | SARTINAH | |
| 18 | RUSIYONO | |
| 19 | MUNANDIRIN | |
| 20 | SUPARDI | |
| 21 | ROMIAH | |
| 22 | TUMINAH | |
| 23 | PARMIN | |
| 24 | TUKIRAN | |
| 25 | JUPRIYADI | |
| 26 | SUBIYANTORO | |
| 27 | SLAMET SAYIH | |
| 28 | YAMONO | |
| 29 | SOLIKHIN | |
| 30 | WAHIDIN | |
| 31 | MUTINEM | |
| 32 | ALVI AGUSTINA | |
| 33 | TRI CHAYATI |