| No. | Nama | Paraf |
|---|---|---|
| 1 | MANSUR | |
| 2 | TUARTI | |
| 3 | MAKFUL | |
| 4 | RUMADI | |
| 5 | TUWAR | |
| 6 | SUMARDI | |
| 7 | MUHAERUN | |
| 8 | MAT LIFIN | |
| 9 | TRIS WARTOYO | |
| 10 | SUJADI | |
| 11 | SAWAUN | |
| 12 | SUMADI | |
| 13 | SUTAMAT | |
| 14 | RIJANAH | |
| 15 | MAT YUSTAM | |
| 16 | JUROKHIM | |
| 17 | MUKADI | |
| 18 | SLAMET RIKALIS | |
| 19 | ZAENUDIN | |
| 20 | SUBAKIR | |
| 21 | SULDIYAN | |
| 22 | ROMANDHON | |
| 23 | DARMAN | |
| 24 | SURATI | |
| 25 | HADIYONO | |
| 26 | ISTUWANTO |