| No. | Nama | Paraf |
|---|---|---|
| 1 | REJIYANTO | |
| 2 | SANAH | |
| 3 | MAHFUDI | |
| 4 | WAWAN BUDIYANTO | |
| 5 | NANANG RIYADI | |
| 6 | SUWARTO | |
| 7 | PAWIT | |
| 8 | ROHMANTO | |
| 9 | HARUN | |
| 10 | MUHLASIN | |
| 11 | DALIMAN | |
| 12 | PANDIL | |
| 13 | JASMADI AL JUMADI | |
| 14 | SUBARDI | |
| 15 | TUKINAH | |
| 16 | MUHARI | |
| 17 | TRIYONO | |
| 18 | MUTIMAH | |
| 19 | ROFIUDIN | |
| 20 | SUYONO | |
| 21 | SRIYANTO | |
| 22 | WALIJAH | |
| 23 | PRAYOGA |