| No. | Nama | Paraf |
|---|---|---|
| 1 | WAHYUMI | |
| 2 | MUCHAMAD SHOCHIB SETIAWAN | |
| 3 | RUDATIN | |
| 4 | WAHIDUN | |
| 5 | SUDEBYO | |
| 6 | MUNDOYIN | |
| 7 | SUALMAN | |
| 8 | MUHTAR | |
| 9 | AMIR ROCHIBUN | |
| 10 | ZAENUDIN | |
| 11 | SURYONO | |
| 12 | SUMINTO | |
| 13 | ZAKARIA | |
| 14 | SUIB NUROCHMAN | |
| 15 | DARYANTO | |
| 16 | MUHAMAD HARISUN | |
| 17 | ARIF ARIYANTO | |
| 18 | ACHMAD SHODIQ | |
| 19 | JUWARNO |