| No. | Nama | Paraf |
|---|---|---|
| 1 | ENDRI IMAM MUSTAKIM | |
| 2 | JURI | |
| 3 | JULI | |
| 4 | PONYO | |
| 5 | KARSUDI | |
| 6 | DAHMAN | |
| 7 | RANI | |
| 8 | SIYAMAH | |
| 9 | JAKIMIN | |
| 10 | PRAYIT | |
| 11 | TAROJI | |
| 12 | SIYAMIN | |
| 13 | KURDI | |
| 14 | SIYONO | |
| 15 | SURAHYO | |
| 16 | PURWANTO | |
| 17 | RIYANTO | |
| 18 | TIMBUL | |
| 19 | WALIYADI | |
| 20 | PONIDI | |
| 21 | YASMO | |
| 22 | YUWONO | |
| 23 | SUTAMAH | |
| 24 | MUARIF | |
| 25 | SUWARNO | |
| 26 | SURADI | |
| 27 | SETYO WAHIDI | |
| 28 | YATI | |
| 29 | SUMARNO |