| No. | Nama | Paraf |
|---|---|---|
| 1 | SUYANTI | |
| 2 | WAHADI | |
| 3 | ZUKRORIYAH | |
| 4 | NASIRIN | |
| 5 | ROBIUL MIFTAHUL | |
| 6 | RAMELAN | |
| 7 | FATCHURROHMAN | |
| 8 | JUMADI | |
| 9 | SULASDI | |
| 10 | SITI MAROAH | |
| 11 | KARNI | |
| 12 | MUHAMAD SA'BAN | |
| 13 | WAGINI | |
| 14 | PALAL | |
| 15 | SURAHMI | |
| 16 | TUJINAH | |
| 17 | ROCHANI | |
| 18 | SUPINAH | |
| 19 | AKHMAD AZIS | |
| 20 | ISNAN NASARUDIN | |
| 21 | ROJIYAH | |
| 22 | WAHYUDI | |
| 23 | INDADIN | |
| 24 | ACHMAD ZAIN |