| No. | Nama | Paraf |
|---|---|---|
| 1 | SABARI | |
| 2 | RAHMAN | |
| 3 | ISTIYANI | |
| 4 | JAIKUN | |
| 5 | RAMIDI | |
| 6 | SURAMIN | |
| 7 | BEJO | |
| 8 | UJIYATNO | |
| 9 | SLAMET | |
| 10 | SUKARMIN | |
| 11 | SUDIYANTO | |
| 12 | BOTOK | |
| 13 | SUWADI | |
| 14 | SUMARNO | |
| 15 | SUPRAMNYO | |
| 16 | WAHYUDI | |
| 17 | IHWAN | |
| 18 | MADIYONO | |
| 19 | DARMAN | |
| 20 | KIRMAN | |
| 21 | EDI SUKOYO | |
| 22 | SURTINAH | |
| 23 | ISMAIL |