| No. | Nama | Paraf |
|---|---|---|
| 1 | SUPRIYATI | |
| 2 | AGUS WATI | |
| 3 | SUJOKO | |
| 4 | WALIYO | |
| 5 | TUWALDI | |
| 6 | CAHYANI | |
| 7 | GENUK | |
| 8 | KARYANI | |
| 9 | ANAM PRIYANTO | |
| 10 | NGATINAH | |
| 11 | AHMAD YAENI | |
| 12 | WATOYO | |
| 13 | YAKUB | |
| 14 | SARONI | |
| 15 | SUBEKTI | |
| 16 | SUYUT | |
| 17 | SUMPENO | |
| 18 | RUWADI | |
| 19 | KUWADI | |
| 20 | SUNYOTO | |
| 21 | SIYAMIN | |
| 22 | YAMUJI | |
| 23 | RUSMI | |
| 24 | SUYITNO | |
| 25 | SUMADI | |
| 26 | SLAMET RIYADI | |
| 27 | MISDI | |
| 28 | GUNARI | |
| 29 | WAHNO | |
| 30 | BAHRONI | |
| 31 | SUTRISNO | |
| 32 | TUKIYO | |
| 33 | SUDADI | |
| 34 | MARBU | |
| 35 | MUHIDI | |
| 36 | SUPRATI | |
| 37 | SUATI | |
| 38 | KAMSU | |
| 39 | WAGIMIN | |
| 40 | WARDI | |
| 41 | IMAM SUJOKO | |
| 42 | SUYADI | |
| 43 | SUDARMAWAN | |
| 44 | NASTA IN | |
| 45 | MUNARI | |
| 46 | SLAMET EZY PURNOMO | |
| 47 | SARWIJAN | |
| 48 | SUBAKIR | |
| 49 | SUWIGNYO | |
| 50 | JUMADI | |
| 51 | KUSNI | |
| 52 | HADIONO | |
| 53 | SUDARWANTO |