| No. | Nama | Paraf |
|---|---|---|
| 1 | WASTONI | |
| 2 | SUPAAT | |
| 3 | ROHMAT WIDODO | |
| 4 | BAMBANG WIDIYANTO | |
| 5 | TAAT PUJI RIYONO | |
| 6 | KHADISIN | |
| 7 | MISDI | |
| 8 | ISROPI | |
| 9 | AFIF HIDAYAT | |
| 10 | NUR AHMADI | |
| 11 | DARYONO | |
| 12 | NGATINI | |
| 13 | PATAH AHMADI | |
| 14 | AMIN | |
| 15 | KABUL | |
| 16 | SARNO | |
| 17 | WAHYUDIN | |
| 18 | ISTANTO | |
| 19 | ZAENAL ARIFIN | |
| 20 | SUPRIYADI | |
| 21 | SUGIYAR | |
| 22 | TURKHAMUN | |
| 23 | ZAMAN HURI | |
| 24 | PUJI PRIHANTO | |
| 25 | YOHANES PUJI UTOMO | |
| 26 | FATOLANI | |
| 27 | JUMADI |