| No. | Nama | Paraf |
|---|---|---|
| 1 | ISTIYANTO | |
| 2 | PURWANDONO | |
| 3 | TRI WIBOWO | |
| 4 | ABDUL ROCHMAN | |
| 5 | KATEMIN | |
| 6 | SARDJINAH | |
| 7 | WANASIK | |
| 8 | MUHJONO | |
| 9 | MASYKURI | |
| 10 | SISWANTO.SPD | |
| 11 | MULYANI | |
| 12 | HADI SUMARJO | |
| 13 | SUWARTO | |
| 14 | KISRUH | |
| 15 | MARFUAH | |
| 16 | MUDJONO | |
| 17 | DASWAM | |
| 18 | MUH TABRI | |
| 19 | ROHMADI | |
| 20 | YUNI ANTORO | |
| 21 | MUNAWAR | |
| 22 | GRAITA PRILAGRAHA HERGUNTORO | |
| 23 | WARTIYATUN | |
| 24 | JOKO PRIYANTO | |
| 25 | WALYADIN | |
| 26 | ARIF SAFI'I | |
| 27 | YULIYATNO | |
| 28 | HAMIM |