| No. | Nama | Paraf |
|---|---|---|
| 1 | ROCHMIYATOEN | |
| 2 | MUHAMAD KHOERODIN | |
| 3 | ANIK HARTANTI | |
| 4 | MUHAMMAD ADI SANTOSO | |
| 5 | MUHAMAD SODIKIN | |
| 6 | SLAMET PRIYO LAKSONO | |
| 7 | SUPRIYANTO | |
| 8 | MUH SUWARNO | |
| 9 | ZAMRONI | |
| 10 | SUMIYATI | |
| 11 | GANDHI DWI HERMAWAN | |
| 12 | SUBKHAN MUBAROK | |
| 13 | WALID WAHID ROCHMAN | |
| 14 | IMAM KHAFID | |
| 15 | MUHAMMADUN | |
| 16 | ALIP ARIYANTO | |
| 17 | AMBYAH | |
| 18 | SUBIYANTO | |
| 19 | WAHYUNI | |
| 20 | MAHMUJI | |
| 21 | MUH ZUHRI | |
| 22 | ASMAUL CHUSNAH | |
| 23 | ASIYAH | |
| 24 | HADI DARSITO | |
| 25 | MUH SODIK | |
| 26 | MAT GHONI | |
| 27 | AFANDI | |
| 28 | USMANTO | |
| 29 | TAUFIK FIRMANTO | |
| 30 | PURWANTI | |
| 31 | WARTIYAH | |
| 32 | EKO BRAMANTO | |
| 33 | TANTO KOSARI | |
| 34 | MUHAMMAD NURYADI | |
| 35 | SUMIHARTI |