| No. | Nama | Paraf |
|---|---|---|
| 1 | MURYANI | |
| 2 | BUDIYONO | |
| 3 | UMIYATI | |
| 4 | MUHAMMAD KHADZIQ | |
| 5 | SUWARDI | |
| 6 | ROHDIYONO | |
| 7 | JUWARNO | |
| 8 | ZAENAL FAIZIN | |
| 9 | LISTIYO | |
| 10 | TIMBUL PRIONO | |
| 11 | KUSMANTO | |
| 12 | SUKIRMAN | |
| 13 | PUJI RAHAYU | |
| 14 | SUYARTO | |
| 15 | RUWAJI | |
| 16 | MUJIYONO | |
| 17 | SUMAERI | |
| 18 | SUWALDI | |
| 19 | BUDIMAN | |
| 20 | SLAMET | |
| 21 | SUNARJO | |
| 22 | RIBENG | |
| 23 | ERI SAFRUDIN | |
| 24 | RUMAEDI | |
| 25 | SUDIHARJO | |
| 26 | SUGIYONO | |
| 27 | SUPARI | |
| 28 | MUJIYEM | |
| 29 | NUR SLAMET | |
| 30 | EKO ROCHIMAN | |
| 31 | MARDJULI | |
| 32 | SAIMAN | |
| 33 | SUMADI | |
| 34 | FAKODIN | |
| 35 | MARSUDI | |
| 36 | SUBAEDI | |
| 37 | KLIMAN | |
| 38 | DARMADI | |
| 39 | PARIYEM | |
| 40 | JUMARI | |
| 41 | SUTRISNO | |
| 42 | UNTUNG | |
| 43 | ALI USMAN | |
| 44 | AGUS MA'ARIF | |
| 45 | NUR SUGIYANTO | |
| 46 | JANI SOKHIBUL IKHSAN |