| No. | Nama | Paraf |
|---|---|---|
| 1 | SANTI INDRAWATI | |
| 2 | BAMBANG BUDI PRASETIYO | |
| 3 | MARDIYANTO | |
| 4 | SLAMET WIDODO | |
| 5 | SURYO WIDODO | |
| 6 | KUSWATI SETIYO RAHAYU | |
| 7 | AGUNG NUGROHO | |
| 8 | MAKRUS MARIYONO | |
| 9 | MUCHAMAD AJI ATMOKO | |
| 10 | TANGGUH SETYO WIBOWO | |
| 11 | SUWARTO | |
| 12 | FATIMAH | |
| 13 | SUROTO | |
| 14 | WALDIYANTO | |
| 15 | MOH SABIT | |
| 16 | NGATIJO | |
| 17 | SUKARJO | |
| 18 | PARWITO | |
| 19 | SUNARTO | |
| 20 | SUYATMAN | |
| 21 | SUWARSONO | |
| 22 | MUHYADI | |
| 23 | MUJIYONO | |
| 24 | SUPARTINAH | |
| 25 | SRI RAHAYU | |
| 26 | PURWANTO | |
| 27 | RONDIYAH | |
| 28 | ISANTO | |
| 29 | WALDIYONO | |
| 30 | PUJI WAHYUDI |