| No. | Nama | Paraf |
|---|---|---|
| 1 | SUHARTO | |
| 2 | TRI SUKAMTO | |
| 3 | SUYADI | |
| 4 | SUPRIYADI | |
| 5 | KISRUH YUSUF | |
| 6 | SLAMET ASIH | |
| 7 | DAMAR AL BAGOFIQI | |
| 8 | DANANG EKO SETIYONO | |
| 9 | MAS'UD ANDRIYANA | |
| 10 | SINGGIH WIDODO ASIH BASUKI | |
| 11 | SUNGGONO | |
| 12 | ASMAWI | |
| 13 | NGAHADI | |
| 14 | JEMURI | |
| 15 | WALDI HADI SUMARTO | |
| 16 | AMAT TASLIM | |
| 17 | AMIN SUUDI | |
| 18 | DJUHARI | |
| 19 | KEMINI | |
| 20 | MUTARDI | |
| 21 | AHMAT DAHLAN | |
| 22 | SUPANGAT | |
| 23 | TAREKAT | |
| 24 | SUPARI | |
| 25 | SUPARMAN | |
| 26 | ROHADI | |
| 27 | ARIF WIBOWO BUDI SULISTYO | |
| 28 | PADI | |
| 29 | TARMUJI |