| No. | Nama | Paraf |
|---|---|---|
| 1 | TUMINAH | |
| 2 | MAHMUD | |
| 3 | TUMIYEM | |
| 4 | FURKON | |
| 5 | TONNY PANJAITAN | |
| 6 | DJAIMAH | |
| 7 | SOEDRADJAT | |
| 8 | MUSIDAH | |
| 9 | HADI MARSONO | |
| 10 | HERI SANTOSA | |
| 11 | SLAMET SUDIMINDARTO | |
| 12 | SUNAR DWI WINTORO | |
| 13 | HERU WASONO DWI WORO ADIL | |
| 14 | NASKURIN | |
| 15 | HARYOKO SUKRISNO | |
| 16 | SUGIARTO | |
| 17 | TRI SUKO WIDODO | |
| 18 | PONIDI | |
| 19 | NGASIMAH |