| No. | Nama | Paraf |
|---|---|---|
| 1 | WAIS ACHMAD AL QORNI | |
| 2 | JUWADI | |
| 3 | USVA YUSUF | |
| 4 | SURAHNO | |
| 5 | SURAHNO | |
| 6 | BUAHIR | |
| 7 | BANGUN JAROT SANTOSO | |
| 8 | IRMADI | |
| 9 | ELLY ULFAH | |
| 10 | SUKIRNO SURAMI | |
| 11 | ISMANTO YATMAN | |
| 12 | MISRIYATI | |
| 13 | PAIDI | |
| 14 | SUDARNO | |
| 15 | SURAMI | |
| 16 | SUALDI | |
| 17 | IRWANTO | |
| 18 | ISMANTO | |
| 19 | SASTRO WIJOYO | |
| 20 | NURYADI | |
| 21 | BUAHIR | |
| 22 | TUJAB | |
| 23 | SUPARMAN | |
| 24 | MUGIYONO | |
| 25 | SLAMET CENDET | |
| 26 | PURWANTO | |
| 27 | WALTI | |
| 28 | WAHYUDI | |
| 29 | MARIYONO | |
| 30 | MUJITO | |
| 31 | SUWANDI | |
| 32 | PUTRO ARIYADI | |
| 33 | JUNAEDI | |
| 34 | MAHYADI | |
| 35 | SUPARDI | |
| 36 | PAINI | |
| 37 | SUWALTO | |
| 38 | MUJIMAN | |
| 39 | SUENTO | |
| 40 | UNTUNG SUKIRNO | |
| 41 | MULYONO |