| No. | Nama | Paraf |
|---|---|---|
| 1 | TUWALNO | |
| 2 | BAMBANG ADI PRAMONO | |
| 3 | SARHADI | |
| 4 | SYAEFUL WAKHID | |
| 5 | TIMUTIWI | |
| 6 | MARDIYAH | |
| 7 | HARIYANTO | |
| 8 | RUDI SETYAWAN | |
| 9 | RIRIN SUWARTI | |
| 10 | FERI SUGIYANTO | |
| 11 | YAMI | |
| 12 | SUHARTO | |
| 13 | SUCIPTO | |
| 14 | WARTOYO | |
| 15 | WAHONO | |
| 16 | SUWIRJO | |
| 17 | SUWARNI | |
| 18 | AGUSTINUS TARMUJI | |
| 19 | SISWOYO | |
| 20 | MUGIONO | |
| 21 | SUROTO | |
| 22 | SRI UNI PURWATI | |
| 23 | BUDIYONO | |
| 24 | I GUSTI MADE HEPI MAYAWAN | |
| 25 | NURWANTO PUTRO WAHYONO | |
| 26 | ISTIANAH | |
| 27 | SUWANDI | |
| 28 | SUMADIYONO | |
| 29 | KALIMANTORO | |
| 30 | MUSTOFA | |
| 31 | MARDIYAH | |
| 32 | TUKIRAH | |
| 33 | MUKINI | |
| 34 | MARSINI |