| No. | Nama | Paraf |
|---|---|---|
| 1 | MUCHAMAT HADIRIN | |
| 2 | NAPSOL KHOLIS | |
| 3 | AHMAT TAUFIK | |
| 4 | SARINI | |
| 5 | ROHMAT DWI ASIH | |
| 6 | SUHENDRIYANTO | |
| 7 | ATIK FIRMA AGHILATUN NISA | |
| 8 | MAHMUDIN | |
| 9 | KAMDI | |
| 10 | NGAJIB | |
| 11 | SUYITNO | |
| 12 | MIAH | |
| 13 | SANTO | |
| 14 | SADAR NASIHUN | |
| 15 | PURYONO | |
| 16 | SUWARNO | |
| 17 | DARYANTO | |
| 18 | MUHRONDI | |
| 19 | ATMINI | |
| 20 | KURDIONO | |
| 21 | SUROHANI | |
| 22 | EDI SUBEKTI | |
| 23 | MUHAMAD KHOLIK ASRORI | |
| 24 | EKO SUKRATMANTO |