| No. | Nama | Paraf |
|---|---|---|
| 1 | NUR RODIN | |
| 2 | RUFIATNO | |
| 3 | NGATIMAH | |
| 4 | SUGIMAH | |
| 5 | SAEFUL BAHRI | |
| 6 | NASIRIN | |
| 7 | NUR ROKHMAD | |
| 8 | SLAMET ARYONO | |
| 9 | SUMARDI | |
| 10 | NUR KHAMIM | |
| 11 | ROCHMAD | |
| 12 | SUDIRO | |
| 13 | SUKAHAR | |
| 14 | IRFAN | |
| 15 | PARNO | |
| 16 | HASIM FAIZUN | |
| 17 | SUPARTO | |
| 18 | SUBANDI | |
| 19 | SUYANTO | |
| 20 | SUKARDI | |
| 21 | SUKIMAN | |
| 22 | MUJIYONO | |
| 23 | TUPAR | |
| 24 | SANUSI | |
| 25 | ROMANTIYO KUSUMA ARDI | |
| 26 | NASRUDIN | |
| 27 | SUPARMAN | |
| 28 | RUMONO | |
| 29 | MUDIYONO | |
| 30 | BEJO SISNO |