| No. | Nama | Paraf |
|---|---|---|
| 1 | YASMITO | |
| 2 | UUD | |
| 3 | WIUDI | |
| 4 | UMAR MUSTOFA | |
| 5 | MUSINAH | |
| 6 | MARWANTO | |
| 7 | HESTINA ERWANTI | |
| 8 | SISWANTO | |
| 9 | RUSDIYONO | |
| 10 | TOHARJO | |
| 11 | JARI | |
| 12 | YAMIDI | |
| 13 | KASNO | |
| 14 | ANJAR RISTYAWAN | |
| 15 | MUJIONO | |
| 16 | KHABIB SOLEH | |
| 17 | PARDI | |
| 18 | PARENG | |
| 19 | WALIYADI | |
| 20 | WANDI | |
| 21 | AL MUH IHSAN |