| No. | Nama | Paraf |
|---|---|---|
| 1 | SUPARDI | |
| 2 | ERVIN SANJAYA | |
| 3 | RISA HIDAYAT | |
| 4 | SUDARNO | |
| 5 | AKHMAD FAUZI | |
| 6 | TUKIMIN | |
| 7 | WAGINEM | |
| 8 | PARIYADI | |
| 9 | TURAH MUHYADI | |
| 10 | SUNARDI | |
| 11 | MUNTARI | |
| 12 | WALYUDI | |
| 13 | WASIAT | |
| 14 | SUPARMAN | |
| 15 | MULYONO | |
| 16 | TURYONO | |
| 17 | SUHADI | |
| 18 | TUMARI | |
| 19 | SUWONO | |
| 20 | YAMIDI | |
| 21 | SISWADI | |
| 22 | KAMIDI | |
| 23 | TUMADI | |
| 24 | RAMIDI | |
| 25 | PRAYITNO | |
| 26 | NGATEMIN | |
| 27 | TULUS WIBOWO | |
| 28 | SUDIYAM | |
| 29 | RAMINI |