| No. | Nama | Paraf |
|---|---|---|
| 1 | WALTIMAH | |
| 2 | SUWALDI | |
| 3 | SAMINTO | |
| 4 | SUMIDAH | |
| 5 | KABUL | |
| 6 | FARID MARUF | |
| 7 | ASWANTO | |
| 8 | ARIF MUSODIQ | |
| 9 | SARTINAH | |
| 10 | SURTI | |
| 11 | SUMARTO | |
| 12 | SUPANDI | |
| 13 | NARIMO | |
| 14 | MUKARTI . | |
| 15 | SARWILAH | |
| 16 | MUJITO . | |
| 17 | SARYOTO | |
| 18 | SLAMET | |
| 19 | MISMIN | |
| 20 | MUJIYANTO | |
| 21 | KARDI SUTARNO | |
| 22 | SALIM | |
| 23 | SUNDARI | |
| 24 | SUJIHAD | |
| 25 | MARSUDI | |
| 26 | PUTRA PAMUNGKAS | |
| 27 | MUJI | |
| 28 | TUWARTI |