| No. | Nama | Paraf |
|---|---|---|
| 1 | SUMADYO | |
| 2 | JUPRIYADI | |
| 3 | TUWARNI | |
| 4 | TRIMO TEGO SULOYO | |
| 5 | ROHMAT ALIMI | |
| 6 | SUBENO | |
| 7 | ATNO WIJOYO | |
| 8 | TUGIMAN | |
| 9 | NARUH | |
| 10 | SUROTO | |
| 11 | HADIYONO | |
| 12 | MUDAKIR | |
| 13 | MUHAMDI | |
| 14 | SUAMUN | |
| 15 | SA'RONI | |
| 16 | JUMAENI | |
| 17 | SUTRISNO | |
| 18 | SUKARDI | |
| 19 | URIP | |
| 20 | NURYONO | |
| 21 | SAMSUDIN | |
| 22 | SIAMIN | |
| 23 | YONO SUKUR | |
| 24 | SUBAKIR | |
| 25 | WAHONO | |
| 26 | WARSITO |