| No. | Nama | Paraf |
|---|---|---|
| 1 | ARIYATI | |
| 2 | MUHAMMAD IZUL MUSTHAFA | |
| 3 | AHMAD SUWADI | |
| 4 | SITI NASRIYAH | |
| 5 | YULIYANAH | |
| 6 | WAHYU NUGRAHA | |
| 7 | M.THOLHAH | |
| 8 | MUROFIK | |
| 9 | MASKUN YUSUF | |
| 10 | DJUNAEDI | |
| 11 | MUHAMAD FATCHUL MAJID | |
| 12 | MASRIFAN | |
| 13 | ZAENUDIN | |
| 14 | SARIYONO | |
| 15 | RUMADI | |
| 16 | SURATMAN | |
| 17 | SUNARTO | |
| 18 | ZUHRI | |
| 19 | ABDUL MUNIF AFANDI | |
| 20 | JAMIYAH | |
| 21 | SLAMET NURHADI | |
| 22 | CHOLIL | |
| 23 | TOTIYAH | |
| 24 | JUMADI | |
| 25 | SUYOTO | |
| 26 | AMIN ZAENUDIN | |
| 27 | NURDIN | |
| 28 | ROHMADI | |
| 29 | NARMUDI | |
| 30 | MURFI HARTONI | |
| 31 | MUYADI | |
| 32 | SRI WARNI | |
| 33 | AGUSDI | |
| 34 | INDRA CAHAYADI | |
| 35 | ROFIQ HARTANTO |