| No. | Nama | Paraf |
|---|---|---|
| 1 | SALMINAH | |
| 2 | MASITOH | |
| 3 | BANGUN SARWO AJI WIBOWO | |
| 4 | ASHOF WILDA ACHMAD | |
| 5 | SHOLEH | |
| 6 | JOKO PRAYOGO | |
| 7 | AGUS TOFANI | |
| 8 | NASTAQIM | |
| 9 | SOFWAN | |
| 10 | MUHAMMAD ALWI | |
| 11 | CHOTIDJAH | |
| 12 | TRI UNGGARSIH | |
| 13 | MUHAMMAD AMIN | |
| 14 | BUNYAMIN | |
| 15 | ANI ASTUTI | |
| 16 | NDONAH | |
| 17 | IMRONAH | |
| 18 | LAMUN SABAR | |
| 19 | AHMAD YUSUF | |
| 20 | NUR ROKHIM | |
| 21 | ALI PURNAMA | |
| 22 | EDI SUSILO | |
| 23 | TARWIYAH | |
| 24 | PRASTYO ANDI WIBOWO | |
| 25 | QOMAR ZAENUDIN ABDULLAH | |
| 26 | EMY LISTIJANI | |
| 27 | TUSRIN JITUS | |
| 28 | AKHMAD MASYKUR |