| No. | Nama | Paraf |
|---|---|---|
| 1 | MUKADI | |
| 2 | BUDI STIYAWAN | |
| 3 | DWI ARMANINGSIH | |
| 4 | MARLIYAH | |
| 5 | SUDARMIM | |
| 6 | TUTUS HERI NUGROHO | |
| 7 | NGATEMAN | |
| 8 | RIWAYADI | |
| 9 | SUPANGAT | |
| 10 | SUGIYARNO | |
| 11 | SUTARMAN | |
| 12 | TUKARDI | |
| 13 | NGABDI | |
| 14 | WARIS | |
| 15 | TIMBANG | |
| 16 | SUDARMIN | |
| 17 | ROJIYAT | |
| 18 | SUYONO | |
| 19 | RAMIDI | |
| 20 | UMIYATI |