| No. | Nama | Paraf |
|---|---|---|
| 1 | DARSINI | |
| 2 | RESA HENDRAWAN | |
| 3 | SUHARSINI | |
| 4 | NAFIAN | |
| 5 | ADI PRAWANTO | |
| 6 | MESRONI | |
| 7 | NARIYATI | |
| 8 | TRI SALIS | |
| 9 | SARMIYAH | |
| 10 | SOLICHIN | |
| 11 | HARTONO | |
| 12 | MUDJIATI | |
| 13 | AMINADI | |
| 14 | FITRIYAH | |
| 15 | NA'AMIN | |
| 16 | SULARDI | |
| 17 | NASRUDIN | |
| 18 | NAHNU KHUZAENI | |
| 19 | NUROCHMADI | |
| 20 | SUPRI SUROSO | |
| 21 | TURSINAH | |
| 22 | ZAENUDIN | |
| 23 | MATCHUZAENI | |
| 24 | HARDIYANTO ALDI | |
| 25 | ROHIMAH | |
| 26 | DA'INI | |
| 27 | ANDY MARGONO | |
| 28 | JOHAN PRAYITNO |