| No. | Nama | Paraf |
|---|---|---|
| 1 | HADI LAKSONO | |
| 2 | PURWANTO | |
| 3 | AMIN ROHMAN | |
| 4 | SUPRIYANTO | |
| 5 | SALSA DWI ASTUTI | |
| 6 | KAMIT | |
| 7 | FANDOLI | |
| 8 | SURAMI | |
| 9 | NUR AHMAD | |
| 10 | BUDIYONO | |
| 11 | ISTACHORI | |
| 12 | DJUWENI | |
| 13 | BAHRI | |
| 14 | AMIRUL JAELANI | |
| 15 | PARYONO | |
| 16 | SODIKIN | |
| 17 | PALIL | |
| 18 | MODIN | |
| 19 | BIBIT | |
| 20 | IBRAHIM | |
| 21 | MURTANDO | |
| 22 | FAIZIN | |
| 23 | MAKRUF ROZIKIN | |
| 24 | SULENI |