| No. | Nama | Paraf |
|---|---|---|
| 1 | ASNAFIAH | |
| 2 | HERU SETIAWAN | |
| 3 | TRI MURTEJO | |
| 4 | MUH FANDLIL | |
| 5 | ISTACHORI | |
| 6 | SUTARTO | |
| 7 | SLAMET URIP | |
| 8 | MUH SODIK | |
| 9 | MUJI YONO | |
| 10 | SANGIDU | |
| 11 | MUH PANDI | |
| 12 | ASNGADI | |
| 13 | MARYUNIK | |
| 14 | MUBADIYONO | |
| 15 | SUNARDI | |
| 16 | WAHIDI | |
| 17 | NOR SOLEH | |
| 18 | MUHAMMAD KHOLIQ | |
| 19 | MAKNO | |
| 20 | SUGIYANTO | |
| 21 | SUMIDAH | |
| 22 | MUH MAHRIL | |
| 23 | SABARUDIN | |
| 24 | M. ABDUL HAMID | |
| 25 | SABAR | |
| 26 | BUDI RAHAYU | |
| 27 | MUHAMMAD PUJIYANTO | |
| 28 | ALFIAH | |
| 29 | AGUS HERIYANTO |