| No. | Nama | Paraf |
|---|---|---|
| 1 | MISDIYONO KHOSIQIN | |
| 2 | WASDI ROHMAN | |
| 3 | AFI RIDWAN ALYA | |
| 4 | ROHMAT YUDI HIDAYAT | |
| 5 | TRITI ESTRI | |
| 6 | NUR JUMBUH | |
| 7 | KUWAT UMARYADI | |
| 8 | AMAT SODIKIN | |
| 9 | TURMIYATUN | |
| 10 | SUMAENI | |
| 11 | AMIN SALAFUDIN | |
| 12 | AHMADI | |
| 13 | SOLIKHIN | |
| 14 | RAMIDI | |
| 15 | SUFYAN | |
| 16 | YUDIYANTO | |
| 17 | SURISNO | |
| 18 | LUTFI ABDULLAH | |
| 19 | SUROHIM | |
| 20 | ROHMAT SAFII | |
| 21 | MUSAERI | |
| 22 | SURAHMAN | |
| 23 | ZULIYANTO ADI NUR PRATAMA |