| No. | Nama | Paraf |
|---|---|---|
| 1 | AKHMAD AZIS.S.FIL.I | |
| 2 | FERRY KHOIRUR RIDHWAN | |
| 3 | AKHMAD TOHIR | |
| 4 | IMBUH UTAMI | |
| 5 | MUCHAMAT JAMIL | |
| 6 | UMI ZAROH | |
| 7 | IMBUH | |
| 8 | ALI ROHMAT | |
| 9 | JUMARNO | |
| 10 | BUDI SUTRISNO | |
| 11 | MUHAMMAD ABIDIN | |
| 12 | AHMAD SAIFUDIN | |
| 13 | USNUL ROHIM | |
| 14 | UDIN | |
| 15 | SAPARI | |
| 16 | ISTONI | |
| 17 | ISTIMAN | |
| 18 | UDI WALUYO | |
| 19 | SAMIUN | |
| 20 | SALAMUN | |
| 21 | SUKARDI | |
| 22 | TULAENI | |
| 23 | DANAR RIKSA | |
| 24 | NURWASIH | |
| 25 | FATCHURROHMAN | |
| 26 | KHOSIFAH | |
| 27 | SLAMET HADI PRAYITNO | |
| 28 | WAHIDUN | |
| 29 | MUJITO | |
| 30 | MUGIYATI | |
| 31 | KHUSAENI | |
| 32 | KARSINI | |
| 33 | SODIK IRFANUDIN |