| No. | Nama | Paraf |
|---|---|---|
| 1 | KUAT | |
| 2 | SUYANTI | |
| 3 | MIMAH | |
| 4 | ACHMAD | |
| 5 | PRAYITNO | |
| 6 | NUROHMAN | |
| 7 | SAPAR | |
| 8 | SITUK | |
| 9 | RIYANTO | |
| 10 | RAMIDI | |
| 11 | SUMARYO | |
| 12 | WAHYUDI | |
| 13 | AHMAD ZAIT | |
| 14 | SLAMET | |
| 15 | HARDIYANTO | |
| 16 | SUPADI | |
| 17 | AHMAD | |
| 18 | ABDUL KODIM | |
| 19 | SLAMET | |
| 20 | PAWIT | |
| 21 | SAMUDI | |
| 22 | TUKAYADI | |
| 23 | MUNARDI | |
| 24 | SLAMET | |
| 25 | YUNI ANTORO |