| No. | Nama | Paraf |
|---|---|---|
| 1 | CIPTO HARTOYO | |
| 2 | DANANG ADI SAPUTRA | |
| 3 | WIDODO | |
| 4 | YAMINI | |
| 5 | SUTARMAN | |
| 6 | WARINI | |
| 7 | ROHMADI | |
| 8 | ILYAS | |
| 9 | MURTI | |
| 10 | ZAENAL NUR ARIPIN | |
| 11 | IRAWAN | |
| 12 | MUTIAH | |
| 13 | MARJAN | |
| 14 | SUDIRMAN | |
| 15 | ANTUN WIDODO | |
| 16 | AGUS | |
| 17 | SARTINI | |
| 18 | SUDARTI | |
| 19 | PAWIT FATIMAH | |
| 20 | BUDI WIYANTO | |
| 21 | WALNITI | |
| 22 | SLAMET PREHANTO |