| No. | Nama | Paraf |
|---|---|---|
| 1 | MUHAMMAD SOBIRIN | |
| 2 | MAWARTI | |
| 3 | SURTI AMINI | |
| 4 | NANDANG SURYANA | |
| 5 | ENI ASIH | |
| 6 | DARSONO | |
| 7 | SUJADI | |
| 8 | SUSILO | |
| 9 | MIYONO | |
| 10 | JUMBANIYATUN | |
| 11 | SUJARI | |
| 12 | WAHDIN | |
| 13 | ALI MUHTAR | |
| 14 | SUKARJAN | |
| 15 | AMIN WAHYU WIBOWO | |
| 16 | SUNDARI | |
| 17 | AMAT ARIS | |
| 18 | AMRODI | |
| 19 | SUPARDIYONO | |
| 20 | MAHMUD | |
| 21 | SURADI | |
| 22 | SURTI AMINI | |
| 23 | MUHSAID | |
| 24 | BUDIYONO | |
| 25 | SIDIK WAHIDI | |
| 26 | WALUYO | |
| 27 | MUCHAMAD JASMADI | |
| 28 | SUGITO | |
| 29 | SOLICHUN | |
| 30 | ACHMAD MASSODIN | |
| 31 | RIKI MUHAMAD BURHANUDIN | |
| 32 | SURATI | |
| 33 | ANWARI |