| No. | Nama | Paraf |
|---|---|---|
| 1 | HERI SUSILARTO | |
| 2 | SETIYO | |
| 3 | ANDI SUSIYANTO | |
| 4 | LENY SAVITRI | |
| 5 | MANARUDIN | |
| 6 | SUMIAN | |
| 7 | ROBERTUS SETIYANTO | |
| 8 | ROBERTUS BUDI PURWOKO | |
| 9 | SITI MAESAROCH | |
| 10 | SULUR MIYANTO | |
| 11 | WAGIMIN | |
| 12 | SLAMET SUYOTO | |
| 13 | SAYEM | |
| 14 | AGUSTINA SUSILARTI | |
| 15 | SARJI | |
| 16 | PARIYATI | |
| 17 | YUSUF SUWIYONO | |
| 18 | AMIN | |
| 19 | NGAHADI | |
| 20 | SUPARDI | |
| 21 | REBI | |
| 22 | SALIM | |
| 23 | SRI SUBANDIYAH | |
| 24 | KECIK | |
| 25 | MAMAN HADI SUTOYO | |
| 26 | TARJA | |
| 27 | SUBARI | |
| 28 | TAROM | |
| 29 | SLAMET | |
| 30 | MULANTO | |
| 31 | TRIMAN | |
| 32 | PAIRIN | |
| 33 | SUHARYANTO | |
| 34 | SARIYANTO | |
| 35 | BUNTARAN | |
| 36 | SAMBUDI TARSICIUS | |
| 37 | MARTINUS MARTONO | |
| 38 | UNTUNG ARDI LESTARI | |
| 39 | SUWONDO | |
| 40 | TUKINO | |
| 41 | SUPARDI | |
| 42 | ISLAMIYAH |