| No. | Nama | Paraf |
|---|---|---|
| 1 | MU'AJIZIN | |
| 2 | NASIR | |
| 3 | PRIYANTO | |
| 4 | TIKNO | |
| 5 | WALIYADI | |
| 6 | SUYAMTO | |
| 7 | TUGIYONO | |
| 8 | PARIYANTO | |
| 9 | TUWARSIH | |
| 10 | DJUMINI | |
| 11 | KABUL TAWIL | |
| 12 | MISKUN | |
| 13 | NGATIMIN | |
| 14 | NGATEMAN | |
| 15 | SUMARMIN | |
| 16 | TURAHMAN | |
| 17 | SISMADI | |
| 18 | PARJI | |
| 19 | UWAR | |
| 20 | PUJI | |
| 21 | SUYATI | |
| 22 | TUKIJAN | |
| 23 | KOMADI |