| No. | Nama | Paraf |
|---|---|---|
| 1 | BONADIYANTO | |
| 2 | SARWADI | |
| 3 | SUKIDI | |
| 4 | DWI NUR CAHYONO | |
| 5 | SUPIYAH | |
| 6 | UMYUNG | |
| 7 | KENDINA | |
| 8 | SARI | |
| 9 | SUDARMANTO | |
| 10 | SUMARDI | |
| 11 | MUWANTO | |
| 12 | DAHNO | |
| 13 | TEGUH | |
| 14 | PAIJEM | |
| 15 | SUGIYANTO | |
| 16 | MUYANTO | |
| 17 | HARWANTO | |
| 18 | TARYOTO GIMIN | |
| 19 | BANDI SUHADI | |
| 20 | KARYONO | |
| 21 | PARIKUN ALIMAN FARICHIN | |
| 22 | ASRI | |
| 23 | RAME | |
| 24 | BADIMAN | |
| 25 | DJUWET | |
| 26 | ELOK | |
| 27 | MARWOTO | |
| 28 | SUKARDI | |
| 29 | WIDODO | |
| 30 | TURAT |