| No. | Nama | Paraf |
|---|---|---|
| 1 | ARIF SAFIUDIN | |
| 2 | MUH KHOZIN | |
| 3 | SUTRISNO | |
| 4 | ARIF ROMADHON | |
| 5 | PARTILAH | |
| 6 | SUGENG AYEM SUTRASMAN | |
| 7 | YUDHI PRASTOWO | |
| 8 | TUMIRAH | |
| 9 | KUSMADI | |
| 10 | MUTMAINAH | |
| 11 | SULAEMAN | |
| 12 | SUPARMI | |
| 13 | SLAMET | |
| 14 | TUKIMIN | |
| 15 | KAMINI | |
| 16 | MADIYONO | |
| 17 | KAMIDI | |
| 18 | MUHSIRUN | |
| 19 | SALMAN | |
| 20 | TIWUH | |
| 21 | EKO PUJIYANTO | |
| 22 | HANDRI PURNOMO | |
| 23 | SUNDARI | |
| 24 | SUROTO | |
| 25 | ARIYADI | |
| 26 | MUKHAMAD WAHYUDIN | |
| 27 | PARTINI |