| No. | Nama | Paraf |
|---|---|---|
| 1 | BOTOK SLAMET | |
| 2 | MIFFAT CHUROHMAN.SP | |
| 3 | MUTIYAH | |
| 4 | WAHYUDI | |
| 5 | KANTHI WINARSIH | |
| 6 | ROCHAYATI | |
| 7 | PARYANA | |
| 8 | TOFIK TURJOKO | |
| 9 | SARIYONO | |
| 10 | SARWOTO | |
| 11 | MUNAKIR | |
| 12 | MUTAQIM | |
| 13 | YUSRIP TANJUNG | |
| 14 | SLAMET ANITIYO | |
| 15 | HADI REKENING | |
| 16 | WARNO | |
| 17 | SUDIARTO | |
| 18 | SUSANTO | |
| 19 | HANDOKO | |
| 20 | YAMO ATEMOREJO | |
| 21 | SURATMI | |
| 22 | KASYADI | |
| 23 | MARGONO | |
| 24 | SRI ISWANTO | |
| 25 | LILIK RAHAYU | |
| 26 | CUNDOKO | |
| 27 | SUSILO | |
| 28 | SAWIRAH |