| No. | Nama | Paraf |
|---|---|---|
| 1 | DAVIT BASTIYAR EFENDI | |
| 2 | ZAENAL ARIFIN | |
| 3 | SUPRIYO | |
| 4 | JUMIYATI | |
| 5 | MUNTOHA | |
| 6 | MUBARI | |
| 7 | SLAMET MADYO | |
| 8 | SLAMET | |
| 9 | YOPI | |
| 10 | WATONO | |
| 11 | SISYANTO | |
| 12 | SAMIYANTO | |
| 13 | SAMSI | |
| 14 | KAMIN | |
| 15 | SUKRATDI | |
| 16 | SUYARNO | |
| 17 | SUTORO | |
| 18 | NGAHADI | |
| 19 | MUGIYO | |
| 20 | TRIMAHNO | |
| 21 | SUKIYO | |
| 22 | MARJU | |
| 23 | DARTIADI | |
| 24 | MINGSRI | |
| 25 | SARI | |
| 26 | JUMANGI | |
| 27 | YONI | |
| 28 | ANTONI | |
| 29 | DALIJO | |
| 30 | DARMADI |