| No. | Nama | Paraf |
|---|---|---|
| 1 | FAIZAL BRAMANTYO | |
| 2 | HARYONO | |
| 3 | HARIYONO | |
| 4 | UNARYADI | |
| 5 | CHADARYANTO | |
| 6 | SAMINTO TRIYONO | |
| 7 | MARIA MAGDALENA ROCHAMI | |
| 8 | F. ISIYAMI MURNIATI | |
| 9 | M. AFFANDI | |
| 10 | SUROTO | |
| 11 | MANISAH | |
| 12 | BUDIYONO | |
| 13 | KUSMANANI | |
| 14 | IDA RAHMAWATI | |
| 15 | ANDARYATI | |
| 16 | EDI KAJAYANA | |
| 17 | DJUMINAH | |
| 18 | RIYADI | |
| 19 | EKA BUDI DELLA MAWARNI | |
| 20 | SUBIYATNO | |
| 21 | KUSBANDIYAH |