| No. | Nama | Paraf |
|---|---|---|
| 1 | PARWAHYUDI | |
| 2 | SITI KHOLIFAH | |
| 3 | WAGI ARIYANTO | |
| 4 | MISTINI | |
| 5 | ARIYADI | |
| 6 | YUSUF ARIN | |
| 7 | ARDYLA KHOIRIL ANAM | |
| 8 | SUROSO | |
| 9 | TARLIYAH | |
| 10 | AFIT | |
| 11 | SUPARI | |
| 12 | MUHIBUN | |
| 13 | SUMIATI | |
| 14 | SARIYONO | |
| 15 | MARYATI | |
| 16 | MUDIYAT | |
| 17 | WASLARI | |
| 18 | SUGIDAH | |
| 19 | SLAMET RAHAYU | |
| 20 | SUKARDI | |
| 21 | PURWO HADIRIN | |
| 22 | TUBARI MATORI | |
| 23 | WAHYUDIN | |
| 24 | MUJI SUKUR | |
| 25 | DIHUN | |
| 26 | MISDI | |
| 27 | DACHRONI | |
| 28 | PUJI RAHMANTO | |
| 29 | IMRON MUJAHIDIN | |
| 30 | ADI KURNIAWAN | |
| 31 | HERI HARIYANTO | |
| 32 | MUHAMMAD SOKHIF AL BAIHAQI | |
| 33 | AHMAD FAHRUL AZIS | |
| 34 | MUNJIYAT | |
| 35 | SOLIHIN |