| No. | Nama | Paraf |
|---|---|---|
| 1 | SITI KHOLIFAH | |
| 2 | TUGIYATI | |
| 3 | SUTIMIN | |
| 4 | SUSANTI | |
| 5 | EDI SAPARNO | |
| 6 | JUWAHIR | |
| 7 | SUTARNO | |
| 8 | SUGIYARTO | |
| 9 | RICKY ARDIYANTO | |
| 10 | RUKADI | |
| 11 | JUWAHIR | |
| 12 | SIYAMTO | |
| 13 | NGATEMIN | |
| 14 | KIRNO | |
| 15 | SARAK | |
| 16 | SURADI | |
| 17 | NGADIMIN | |
| 18 | SUMINTO | |
| 19 | SUNARYO | |
| 20 | JOKO PRATIKNO | |
| 21 | FEBRI MARGIYANTO | |
| 22 | SRIYATI | |
| 23 | RUMADI | |
| 24 | BUDIYARTO | |
| 25 | DAHNO | |
| 26 | IWAN SAIFUL MULUK | |
| 27 | HARMOKO | |
| 28 | KIRWANTO |