| No. | Nama | Paraf |
|---|---|---|
| 1 | MIFTACHUL ICHSAN | |
| 2 | MARFUAT | |
| 3 | ACHMAD BAHA'UL MAQHI | |
| 4 | SLAMET AMIN FATONI | |
| 5 | SLAMET WAHADI ANTO | |
| 6 | JUMIYATI | |
| 7 | SUMARI | |
| 8 | AMINATUN | |
| 9 | JUNAEDI | |
| 10 | ALIZEN | |
| 11 | SLAMET ASRORI | |
| 12 | HADI SUMPENO | |
| 13 | SUWINTOKO | |
| 14 | ACHMAD SADHILI | |
| 15 | SARKONI | |
| 16 | SUHADI | |
| 17 | EKO SISWANTO | |
| 18 | ROCHADI | |
| 19 | ZAENAL NURHADI | |
| 20 | KHABIB SOLEH | |
| 21 | MUSLIKAH | |
| 22 | MOCH EDDY SANTOSO | |
| 23 | RUMINI | |
| 24 | ROCHMAD | |
| 25 | NUROKHIM | |
| 26 | MACHASINUL ACHKAM SUPRIYANTO | |
| 27 | LUVI DARMAWAN | |
| 28 | RIFA'I | |
| 29 | ARIF CAHYONO | |
| 30 | IKMALUDIN FIQI |