| No. | Nama | Paraf |
|---|---|---|
| 1 | EKO SAPUTRO DARMO | |
| 2 | KOMISAH | |
| 3 | FEBRIANA FATIKASARI | |
| 4 | SUNAR SLAMET | |
| 5 | SUROSO | |
| 6 | SOBIRIN | |
| 7 | NGALWI | |
| 8 | SLAMET SUMIADI | |
| 9 | SURATNO | |
| 10 | ACHMAD MUSTAKIM | |
| 11 | WAGIMAN | |
| 12 | ROBANI | |
| 13 | SUROSO | |
| 14 | MAHMUDI | |
| 15 | SUNARTI | |
| 16 | SUKARI | |
| 17 | JUMARI | |
| 18 | SUYONO | |
| 19 | SUKARDI | |
| 20 | SUPANI | |
| 21 | SUBARI | |
| 22 | JUMANI | |
| 23 | KASWADI | |
| 24 | SUWARTO | |
| 25 | NGATAM | |
| 26 | ROZIKIN | |
| 27 | RAHMAD WAHYU RAHANTO | |
| 28 | FATHORI | |
| 29 | NASIKIN | |
| 30 | SLAMET RAHAYU |