| No. | Nama | Paraf |
|---|---|---|
| 1 | SUSIYANTO | |
| 2 | NUR KHAMDI | |
| 3 | ROMELAH | |
| 4 | HERMANTO | |
| 5 | AHMAD AS'ARI | |
| 6 | SUDIYONO | |
| 7 | WAWAN YULIANTO | |
| 8 | RUBIYATUN | |
| 9 | WAWAN TUSTIANTORO | |
| 10 | KUNTO WIBISONO | |
| 11 | SOPYAN | |
| 12 | ISTAMAR | |
| 13 | TRIYONO | |
| 14 | SUNYOTO | |
| 15 | BA'DIYAH | |
| 16 | FAHRUROZI | |
| 17 | WATINI | |
| 18 | MUJIRAH | |
| 19 | MUDZAKKIR | |
| 20 | SUPRAMONO | |
| 21 | MUKH DIHARJO | |
| 22 | AKHAD | |
| 23 | WACHID CHOERODIN | |
| 24 | SAID SUGIYANTO | |
| 25 | KASTOLANI | |
| 26 | WAHADI | |
| 27 | WAHYU SURYANTO | |
| 28 | BUDIYONO | |
| 29 | SUPARDI | |
| 30 | MUHAMMAD AMINOLAH | |
| 31 | ESTI NUZULI ARDIDYANSARI | |
| 32 | ROKHMADI | |
| 33 | MUJIYANTO | |
| 34 | MAKRUP | |
| 35 | SURURIYAH | |
| 36 | MARLIYAH | |
| 37 | BAGUS EGA MULYA | |
| 38 | RUSLIYAH | |
| 39 | MUHAMAD ROZIK | |
| 40 | MARTINAH | |
| 41 | MUHAMAD HIDAYATUL ROHMAN | |
| 42 | ANDIYONO | |
| 43 | MAHMUDAH | |
| 44 | SYAIKHUDIN |