| No. | Nama | Paraf |
|---|---|---|
| 1 | TUR AMIN | |
| 2 | BUDI SURATMAN | |
| 3 | DEWI MUSRIFAH | |
| 4 | NUR BANIYAH | |
| 5 | DJOKO GUNTOROWATI | |
| 6 | AGUS SURATMAN | |
| 7 | SARIYANTO | |
| 8 | SISWANTO | |
| 9 | NUR SAID | |
| 10 | JURENI | |
| 11 | NIKMATULLAH | |
| 12 | SUJUD | |
| 13 | PAHIMAN | |
| 14 | AMIN ABUDIYO | |
| 15 | M. WAHONO | |
| 16 | S. RIDWAN | |
| 17 | ROHMADI | |
| 18 | WAGIMAN | |
| 19 | MIYARTO | |
| 20 | AGUS SUPRIYONO | |
| 21 | SUGENG | |
| 22 | SUDIYAT | |
| 23 | WAGIMAN |