| No. | Nama | Paraf |
|---|---|---|
| 1 | RUDI RUSTIAWAN | |
| 2 | DWIYANTO | |
| 3 | NIKO DEMUS | |
| 4 | ANDHI AGUS HUDIYANTORO | |
| 5 | ARFIYAH | |
| 6 | ISMAIL | |
| 7 | SAHUDI | |
| 8 | SUDIMAN | |
| 9 | BUDIYONO | |
| 10 | BARIYOTO | |
| 11 | ROCHAMIM | |
| 12 | SUNARSI | |
| 13 | RUQOYAH | |
| 14 | MAT CHUNDORI | |
| 15 | SAMBUDI | |
| 16 | ZAMRODAH | |
| 17 | TRI SANTOSA | |
| 18 | NUR CHOLIS | |
| 19 | ASTUTIK | |
| 20 | FIRMAN TAUFIK | |
| 21 | HARIYANTO | |
| 22 | FAJAR SITI AMINAH |