| No. | Nama | Paraf |
|---|---|---|
| 1 | WALSITI | |
| 2 | AHMAD ZAINUDIN | |
| 3 | JARWADI | |
| 4 | GIRIYAH | |
| 5 | KUSMEDI | |
| 6 | YUMIASIH | |
| 7 | SARIMAN | |
| 8 | JIYAN | |
| 9 | SUPARDI | |
| 10 | NGATIYAH | |
| 11 | JUMONO | |
| 12 | SLAMET | |
| 13 | SURATMAN | |
| 14 | MUKAYAT | |
| 15 | SOLIKIN | |
| 16 | SULASTRI | |
| 17 | WALDI | |
| 18 | RINA DWIYANTO | |
| 19 | EDI PRASETIYO WARDONO | |
| 20 | SARIDI | |
| 21 | SUPARNO | |
| 22 | SUDIYONO | |
| 23 | NGAHADI | |
| 24 | SARINI | |
| 25 | ROHANDI | |
| 26 | PETRAN SUTRISNO | |
| 27 | WIYONO | |
| 28 | DAHLAN | |
| 29 | BUDIRAN | |
| 30 | MUHYANI | |
| 31 | MAHQUN | |
| 32 | SLAMET WASTO | |
| 33 | TRI UMANTORO | |
| 34 | HERI SUSANTO | |
| 35 | DYAH CAHYO SUMIRAT | |
| 36 | MUHAMAD RIDLO |