| No. | Nama | Paraf |
|---|---|---|
| 1 | BAMBANG EDI | |
| 2 | ROMIYATI | |
| 3 | PURYONO | |
| 4 | TULUS | |
| 5 | SEPTIAN DWICAHYO | |
| 6 | ARIF SUBAGYO | |
| 7 | SULISTIAWAN | |
| 8 | MUHAMAD SUMAR | |
| 9 | ROYO | |
| 10 | RAHAYU NINGSIH | |
| 11 | PARYOTO | |
| 12 | YUSUP PASORI | |
| 13 | SUMANTO | |
| 14 | CHANDRI YOGA MUHAMAT ALI | |
| 15 | SUDIYONO | |
| 16 | PARIYONO | |
| 17 | SUTIYO | |
| 18 | ROMADHON | |
| 19 | SUGITO | |
| 20 | SARDI | |
| 21 | KISUT | |
| 22 | RANI SLAMET | |
| 23 | SARWIDI | |
| 24 | MUKINAH | |
| 25 | SUNARTO | |
| 26 | MUJIYONO | |
| 27 | TUKIMIN | |
| 28 | RIYONO | |
| 29 | DARTO | |
| 30 | UHEN SUHENDAR | |
| 31 | SUYANTO | |
| 32 | ROLIYAH | |
| 33 | SENENG | |
| 34 | TAMBENG | |
| 35 | SUCIPTO | |
| 36 | KEMAN | |
| 37 | SURAJI | |
| 38 | SIMAN | |
| 39 | SISWANTO | |
| 40 | DARSONO | |
| 41 | WALDI | |
| 42 | PARNO | |
| 43 | PARYOTO | |
| 44 | MUDI | |
| 45 | WALJITO | |
| 46 | SURADI | |
| 47 | SUNYONO | |
| 48 | SUMIYATI | |
| 49 | WAHYONO | |
| 50 | SABAR | |
| 51 | PARNA | |
| 52 | SUWALDI | |
| 53 | SINAH | |
| 54 | TUMADI | |
| 55 | SUDIHARJO |