| No. | Nama | Paraf |
|---|---|---|
| 1 | KABUL TRIANA | |
| 2 | ADY PRAMANA | |
| 3 | DAHMIYAT | |
| 4 | SRIYONO | |
| 5 | ARIF TIYONO | |
| 6 | PURWANTO | |
| 7 | YAMINAH | |
| 8 | MUH YASIN | |
| 9 | MUCH.HOZIN | |
| 10 | KABUL TRIYANA | |
| 11 | SUBARDI | |
| 12 | SISMANTO | |
| 13 | SUKADI | |
| 14 | MARIYONO | |
| 15 | SUMIDI | |
| 16 | JUWARIYAH | |
| 17 | MUHADI | |
| 18 | SUMADI | |
| 19 | SLAMET WALDANI | |
| 20 | SUTRISNO | |
| 21 | AHMAD SAIFUDIN | |
| 22 | APTO | |
| 23 | SULASIH | |
| 24 | SARYANTO | |
| 25 | HARDIYANTO | |
| 26 | SUKAENAH | |
| 27 | HADI WALUYO | |
| 28 | IMBUH ISWANTO | |
| 29 | WARSIH | |
| 30 | BAMBANG SUPARTONO | |
| 31 | NURARIFIN | |
| 32 | FURQONI | |
| 33 | UUN PRASETYO UTOMO | |
| 34 | SETYO WIDIGDO | |
| 35 | MURIDNA | |
| 36 | SUMARDI | |
| 37 | TIMBUL | |
| 38 | FAUZI | |
| 39 | SLAMET | |
| 40 | BAMBANG SUPARTANA | |
| 41 | SRI WAHYUNINGSIH | |
| 42 | JUMIYATI |