| No. | Nama | Paraf |
|---|---|---|
| 1 | ISTIYADI | |
| 2 | MIFTACHUDIN | |
| 3 | TOMEI MAYA | |
| 4 | SLAMET WALUYO | |
| 5 | MUHAMMAD RIBUT | |
| 6 | MUHAMMAD THORIQ MASYKUR | |
| 7 | LISTYO JATI | |
| 8 | AZIZ MUSTOFA | |
| 9 | SUMADI | |
| 10 | HARYONO | |
| 11 | ROBI'AH | |
| 12 | SAUNAH | |
| 13 | SUWARNO | |
| 14 | DARIYONO | |
| 15 | PARTOYO | |
| 16 | MUKAYAT | |
| 17 | DAF' AN | |
| 18 | MUH BAKIR | |
| 19 | ROHMI | |
| 20 | ABDUL ROKHIM | |
| 21 | MUHAMAD NUR SHIDDIQ | |
| 22 | SLAMET TAUKHIT | |
| 23 | SLAMET SUROSO | |
| 24 | SUROSO | |
| 25 | WALITO | |
| 26 | TUKIMAN | |
| 27 | DENIS ADY KURNIA PRATAMA | |
| 28 | MANZONAH | |
| 29 | WAGIYONO | |
| 30 | ROMIYATI | |
| 31 | SURIPTO |