| No. | Nama | Paraf |
|---|---|---|
| 1 | EKO MUDIYANTO | |
| 2 | WARYONO | |
| 3 | MUTAQIN SIGIT WURDONO | |
| 4 | LUSIYONO | |
| 5 | SARMIYATI | |
| 6 | SALAMIN | |
| 7 | MUZAZIN | |
| 8 | SOPIAH | |
| 9 | PARTO WIYONO | |
| 10 | KRISTIYANTO | |
| 11 | TUGIYONO | |
| 12 | TURADI | |
| 13 | KABUL SATOTO | |
| 14 | MULYANI | |
| 15 | MUHADI | |
| 16 | PARJONO | |
| 17 | HARJO PAWIRO | |
| 18 | PRAPTO | |
| 19 | NGADIMIN | |
| 20 | SARTINAH | |
| 21 | TRIMAN | |
| 22 | SAEKHODIN | |
| 23 | MUNARDI | |
| 24 | WARISMONO | |
| 25 | ERWIN WIJAYANTO |