| No. | Nama | Paraf |
|---|---|---|
| 1 | DODY INDRAJAYA | |
| 2 | WAWAN | |
| 3 | DARIYONO | |
| 4 | ISTANTO | |
| 5 | SODIKUN | |
| 6 | NING CIPTATI | |
| 7 | ROSYID | |
| 8 | MUHRI | |
| 9 | SODIKIN | |
| 10 | SUKINAH | |
| 11 | ISWANDI | |
| 12 | RAME | |
| 13 | MUANAH | |
| 14 | SUKITO | |
| 15 | PARIYO | |
| 16 | TRIMO UTOMO | |
| 17 | AMAT KUSRI | |
| 18 | TUKIMAN | |
| 19 | SUMIYAT | |
| 20 | MUHROJI | |
| 21 | KADAR FAHRUDIN | |
| 22 | TOYIBAH | |
| 23 | KLIMAH | |
| 24 | NURYANTO | |
| 25 | SUTIYAR | |
| 26 | MUSTAJAB | |
| 27 | SURONO | |
| 28 | YAMINI | |
| 29 | MUHYIDIN |