| No. | Nama | Paraf |
|---|---|---|
| 1 | TUS TRIYONO | |
| 2 | HADIYONO | |
| 3 | SUMINEM | |
| 4 | TAUFIK | |
| 5 | AHMADI | |
| 6 | SUWANTO | |
| 7 | RIYONO | |
| 8 | SLAMET MUJIRAN | |
| 9 | SAMAK | |
| 10 | TUMIDI | |
| 11 | DJUMADI | |
| 12 | TOLANI | |
| 13 | MUJIYO | |
| 14 | BAWON | |
| 15 | SUTOPO | |
| 16 | KUSNAENI | |
| 17 | DARJI | |
| 18 | YATMO | |
| 19 | UMAR | |
| 20 | SYUKUR | |
| 21 | MUHAMMAD NAWAWI | |
| 22 | WAHIDI | |
| 23 | DASRI | |
| 24 | SARIJEM | |
| 25 | SUGENG | |
| 26 | SLAMET HERMANI | |
| 27 | FATHUR ROHMAN AROFI |