| No. | Nama | Paraf |
|---|---|---|
| 1 | MUSLIH | |
| 2 | SUGIYONO | |
| 3 | SUPARMAN | |
| 4 | EFENDI | |
| 5 | PARNO | |
| 6 | ISWANTO | |
| 7 | GIYARNO WAGIMAN | |
| 8 | PARMIN | |
| 9 | SAHONO | |
| 10 | RUWIK | |
| 11 | RESIK | |
| 12 | RUSDI | |
| 13 | RUWANDI | |
| 14 | SUYANTO | |
| 15 | SARWAN | |
| 16 | YATINI | |
| 17 | JAROT SUKOCO | |
| 18 | TURUT | |
| 19 | NUROHMAT | |
| 20 | AGUNG MUSLIMIN | |
| 21 | MUJIYATNO | |
| 22 | TRI BUDI SANTOSO |