| No. | Nama | Paraf |
|---|---|---|
| 1 | JOKO | |
| 2 | ENDRI HANANTO | |
| 3 | CUKMI SRI AYUNI | |
| 4 | SRIYONO | |
| 5 | TRIYANTO | |
| 6 | DARWANTO | |
| 7 | SURASI | |
| 8 | RUWADI | |
| 9 | MARKOYAH | |
| 10 | SURWANTO | |
| 11 | JOKO DWIYONO | |
| 12 | TARYOTO | |
| 13 | MARSUDI | |
| 14 | PAIMIN | |
| 15 | KOMARI | |
| 16 | NURYONO | |
| 17 | HARTOYO | |
| 18 | PRIYANTOKO | |
| 19 | RUJUK | |
| 20 | JARIYAH | |
| 21 | ASRONI | |
| 22 | WA'ILAH | |
| 23 | TONAH | |
| 24 | TIWI ARDIYANI |