| No. | Nama | Paraf |
|---|---|---|
| 1 | CHOIRUM MISBARUDIN | |
| 2 | MARPUAH | |
| 3 | TUMARIYONO | |
| 4 | SUFIYANTO | |
| 5 | HENDRO PURNOMO | |
| 6 | SUDIYONO | |
| 7 | TOHIRIN | |
| 8 | SUDARYANTO | |
| 9 | WAHYUDI | |
| 10 | SOLICHIN | |
| 11 | ABDUL CHOLIQ | |
| 12 | SUWARI | |
| 13 | SARENGAT | |
| 14 | MUSIUN | |
| 15 | SAMSUKUR | |
| 16 | SUWARNO | |
| 17 | NUR SALIM | |
| 18 | MISMINI | |
| 19 | SUBANDI | |
| 20 | ITOK MUKHOLIS | |
| 21 | MUGIYONO | |
| 22 | RUSTIYONO | |
| 23 | MISTAR | |
| 24 | EKO SUSILO | |
| 25 | YUNIANTO | |
| 26 | ILHAM | |
| 27 | PARJUDI | |
| 28 | SITI CHASANAH |