| No. | Nama | Paraf |
|---|---|---|
| 1 | MAHSUS | |
| 2 | KOMSIDI | |
| 3 | NUR ROHMAN | |
| 4 | NUR MIFTACHUDIN | |
| 5 | MUHIMUN DIMAS AS | |
| 6 | SUWARNO | |
| 7 | MUKROMIN | |
| 8 | ZAENURI | |
| 9 | ASPURI | |
| 10 | ISTAMAR | |
| 11 | ZAROPI | |
| 12 | CHOERUN | |
| 13 | ZAERONI | |
| 14 | SUBROTO | |
| 15 | MULYONO | |
| 16 | JUMADI | |
| 17 | MUJI SYUKUR | |
| 18 | ZAENUDIN | |
| 19 | MUNARDI | |
| 20 | KOMSIDI | |
| 21 | MUKIYAT | |
| 22 | MUSOFIN | |
| 23 | SAMSUL HADI | |
| 24 | SYAHIDIN | |
| 25 | AHMAD ROHMAD |