| No. | Nama | Paraf |
|---|---|---|
| 1 | ROFLIKUN | |
| 2 | MUHAMAD MAHMUDI | |
| 3 | SUJARNO | |
| 4 | MATROPI | |
| 5 | SUROSO | |
| 6 | WARSIN | |
| 7 | KARMAN | |
| 8 | MISBAKHUL MUNIR | |
| 9 | SUDARNI | |
| 10 | SUKIR | |
| 11 | SURANTO | |
| 12 | TEGUH RAHAYU | |
| 13 | SUMIDIN | |
| 14 | ISROIL | |
| 15 | SUMALIKIN | |
| 16 | JOKO EDI SETIYONO | |
| 17 | KHOIRUL ANAM | |
| 18 | YULI SULISTIYO | |
| 19 | SUHADI | |
| 20 | SARINI | |
| 21 | PARIDI |