| No. | Nama | Paraf |
|---|---|---|
| 1 | JUWET AL TUMINI | |
| 2 | ACHMAD FAUZAN | |
| 3 | UMIYATI | |
| 4 | SAPARDI | |
| 5 | TUYEM | |
| 6 | SUJATI | |
| 7 | NUR PARYADI | |
| 8 | JAMIL JAMIYADI | |
| 9 | SLAMET PRIYANTO | |
| 10 | SANTOSO | |
| 11 | NURCHAMIDIN | |
| 12 | MUHAMMAD RAIHAN QIROM | |
| 13 | BUDI SANTOSO | |
| 14 | BAHRUDIN | |
| 15 | ARIEF RACHMAN SETIAWAN | |
| 16 | MUNDAROH | |
| 17 | ARIFIN RUDIYANTO |