| No. | Nama | Paraf |
|---|---|---|
| 1 | PRIHANTORO | |
| 2 | HERIYONO | |
| 3 | GINO GANEP | |
| 4 | TUMARDI | |
| 5 | SAODAH | |
| 6 | HAYATI | |
| 7 | MUJITO | |
| 8 | WANITI | |
| 9 | RUWANTO | |
| 10 | PRIYO HANDOYO | |
| 11 | BAWON | |
| 12 | SARMINI | |
| 13 | SULISTIYORINI | |
| 14 | SURAMI | |
| 15 | WAHONO | |
| 16 | TUYAMI | |
| 17 | MUFARIDHO | |
| 18 | SUKINAH | |
| 19 | SLAMET | |
| 20 | WALYANTO | |
| 21 | SAMIYATI | |
| 22 | MUYONO | |
| 23 | ROHMAD | |
| 24 | YUSTINA TRI ICHTIARTI | |
| 25 | TUSAR | |
| 26 | ROHIMIN | |
| 27 | IMAN PRAYOGO | |
| 28 | SRI WALUYO | |
| 29 | JOKO WIDIYANTO | |
| 30 | RUMIYAH |