| No. | Nama | Paraf |
|---|---|---|
| 1 | GENDRAT JUMAT MIYANTI | |
| 2 | BUNARDI | |
| 3 | SUGIYONO | |
| 4 | TAAT WIDODO | |
| 5 | ERIX SARWO EDY | |
| 6 | DADANG | |
| 7 | UNTUNG SAFITRI | |
| 8 | MUKADI | |
| 9 | TURAHMAN | |
| 10 | SUYONO | |
| 11 | SARWADI | |
| 12 | DARIYAH | |
| 13 | HADI KAMIL | |
| 14 | SUPARNI | |
| 15 | SARIYADI | |
| 16 | SOLIHIN | |
| 17 | PARDI | |
| 18 | WALYONO | |
| 19 | NYARMADI | |
| 20 | SUWIYONO | |
| 21 | SUPRAPTO | |
| 22 | DALMUJI URIPTO | |
| 23 | SISPAIDI | |
| 24 | ARIYADI | |
| 25 | JOHANAK | |
| 26 | WIYONO | |
| 27 | SURADI | |
| 28 | MADIYO | |
| 29 | GIMAH |