| No. | Nama | Paraf |
|---|---|---|
| 1 | AKHMADI | |
| 2 | SUWARNI | |
| 3 | AMIR KHAIRUDIN | |
| 4 | AJIB SAFAAT AFSONI | |
| 5 | YUSUF ROHMAN | |
| 6 | AMAT TOHIRIN | |
| 7 | BUDIYANTO | |
| 8 | RUSWANDI | |
| 9 | ISTIJANAH | |
| 10 | RUKIYAH | |
| 11 | M. ZAMRONI | |
| 12 | FATKHUROHMAN | |
| 13 | SUNARDI | |
| 14 | SUWARNO | |
| 15 | MARIYONO | |
| 16 | JUMAERI | |
| 17 | SLAMET TEGUH | |
| 18 | BUDIMAN | |
| 19 | YUNANTO | |
| 20 | MUBARI | |
| 21 | SUNYOTO | |
| 22 | SUKERI | |
| 23 | WALDIYONO | |
| 24 | SAMINI | |
| 25 | SUGIARTO | |
| 26 | ISROFI | |
| 27 | SLAMET JUWARI | |
| 28 | TARMADI | |
| 29 | SUTARNO | |
| 30 | DWI NUR AMBYAH | |
| 31 | SUWAH EKO | |
| 32 | MASYKUR ROHMAT | |
| 33 | SLAMET HARYATI |