| No. | Nama | Paraf |
|---|---|---|
| 1 | RUWADI | |
| 2 | NGASPARI | |
| 3 | MAS RUKHAN FATHURROZAQ | |
| 4 | SUMINAH | |
| 5 | ROHMAT | |
| 6 | SLAMET | |
| 7 | WELAS | |
| 8 | PARWANTO | |
| 9 | SURAJI | |
| 10 | SUTARMAN | |
| 11 | TRIMO | |
| 12 | SUKARDI | |
| 13 | HARYADI | |
| 14 | SLAMET | |
| 15 | MUDI | |
| 16 | SUTARNO | |
| 17 | DREMO | |
| 18 | PARNI | |
| 19 | SENO | |
| 20 | UNOYO | |
| 21 | SUNARDI | |
| 22 | RADI | |
| 23 | ISYANTO | |
| 24 | NUROKHIM | |
| 25 | HARTONO | |
| 26 | SUPARDI | |
| 27 | IPEL BADI SADEWO | |
| 28 | TRI WAHYU SLAMET |