| No. | Nama | Paraf |
|---|---|---|
| 1 | SABAR | |
| 2 | PARMO | |
| 3 | AHMAD ROFIK UDIN | |
| 4 | SULAEMAN | |
| 5 | SUDIRMAN | |
| 6 | SRI GUSANTO | |
| 7 | SUTEKI | |
| 8 | WAWAN | |
| 9 | PARJU | |
| 10 | PARJIONO | |
| 11 | MAMAN SARMAN | |
| 12 | MUNTOYIP | |
| 13 | NYONO | |
| 14 | SUMPENO | |
| 15 | RAMINAH | |
| 16 | SURANI | |
| 17 | SARJONO | |
| 18 | MUHAMAT NUR | |
| 19 | MUH ASRONI | |
| 20 | AHMAT WAHYUDI | |
| 21 | SUMADI | |
| 22 | SUDIYONO | |
| 23 | SUKOYO | |
| 24 | WIDODO | |
| 25 | ARIFIN | |
| 26 | SUROWI | |
| 27 | MULYONO |