| No. | Nama | Paraf |
|---|---|---|
| 1 | JUMARNO | |
| 2 | WIBADAR | |
| 3 | LASIDI SLAMET | |
| 4 | ABDUL KARIM | |
| 5 | MUKHAMAD ABDUL KARIM | |
| 6 | SUPARDI HARJO | |
| 7 | PARING KUAT | |
| 8 | JUNARI | |
| 9 | WIWIT HANIVIYAH | |
| 10 | TUMINI | |
| 11 | SARIDI | |
| 12 | URIP | |
| 13 | SUDARJO | |
| 14 | JUMALI | |
| 15 | SUWAHNO | |
| 16 | SURYANTO | |
| 17 | MARDI LESTARI | |
| 18 | GUNAWAN | |
| 19 | SARMIDI | |
| 20 | YASWITO | |
| 21 | WASITO | |
| 22 | SARWADI IMBUH | |
| 23 | TARTAMBAH | |
| 24 | PONIRAH | |
| 25 | MISMINI | |
| 26 | TUWONO | |
| 27 | SOPYAN | |
| 28 | SARTOMO | |
| 29 | SUKARLAN | |
| 30 | SIRUN | |
| 31 | KUSWANDI | |
| 32 | WAHMIN | |
| 33 | KARTINI |