| No. | Nama | Paraf |
|---|---|---|
| 1 | MUHERI | |
| 2 | AKHMAD CHOERODIN | |
| 3 | NUROKHIM | |
| 4 | ROZIKIN | |
| 5 | SLAMET LUKMAN | |
| 6 | WALDIYONO | |
| 7 | EDI WINARTO | |
| 8 | RUSWANDI | |
| 9 | MASHUDI | |
| 10 | AZIM ROYANI | |
| 11 | IMBUH | |
| 12 | SUMPENO | |
| 13 | ROHMADUN | |
| 14 | SAMADI | |
| 15 | ARIS | |
| 16 | SUNGADI | |
| 17 | SUTRIS M. | |
| 18 | RAJIMIN | |
| 19 | SUMARNO | |
| 20 | SALIYAN | |
| 21 | SEMAN | |
| 22 | KASIM | |
| 23 | SUARI | |
| 24 | LASERI | |
| 25 | TULAN | |
| 26 | MARWIDI | |
| 27 | BUSRI | |
| 28 | RAJIMIN | |
| 29 | MANAN | |
| 30 | SEMIN | |
| 31 | SLAMET TEGO | |
| 32 | SUGI | |
| 33 | NGALIYONO | |
| 34 | LASNO | |
| 35 | EKO WAHYONO | |
| 36 | KUWADI | |
| 37 | NGATEMAN | |
| 38 | MISIDAH | |
| 39 | SARMIDI | |
| 40 | SURANI |