| No. | Nama | Paraf |
|---|---|---|
| 1 | MUHAMMAD NUR IKHWAN | |
| 2 | SLAMET | |
| 3 | AMINANTO | |
| 4 | SUWANDI | |
| 5 | SUWADI | |
| 6 | BUNARDI | |
| 7 | SUMARDI | |
| 8 | SLAMET WIYONO | |
| 9 | KLIYAH | |
| 10 | DULRAJAK | |
| 11 | SUBARI | |
| 12 | WALDOYO | |
| 13 | MUGIYEM | |
| 14 | KLIMAH | |
| 15 | WAHYUDI | |
| 16 | NGATELAN | |
| 17 | LEMBUT KIRYADI | |
| 18 | SETIYONO | |
| 19 | MARIYATI | |
| 20 | MARTONO | |
| 21 | ROHMADI | |
| 22 | SENI | |
| 23 | SUKATI | |
| 24 | PAINAH | |
| 25 | SISWANDI | |
| 26 | AMIN NUROHMAT | |
| 27 | RUWANTO | |
| 28 | PARWIDI | |
| 29 | KUWATMI |