| No. | Nama | Paraf |
|---|---|---|
| 1 | MIDCHAL CHAIRUDIN | |
| 2 | ANDHI SETIAWAN | |
| 3 | M. IMAM ISTUKHRI | |
| 4 | MUHAMMAD JEFRI SOFIYUDIN | |
| 5 | SULASTRI | |
| 6 | MUHAMAD ABDULLAH | |
| 7 | MUHAMMAD HARTOYO YOHANES | |
| 8 | ROHYATI | |
| 9 | UMI CHOLBIYAH | |
| 10 | SUMERI | |
| 11 | SITI NGAISAH | |
| 12 | MUHAMAD KHAMID | |
| 13 | DJUWANDI | |
| 14 | MUH BARIR AFFANDHI | |
| 15 | ISRONI | |
| 16 | MUHAMAD ZAENUDIN | |
| 17 | MUHAMAD IBNU MALIK | |
| 18 | SRI BANDIYAH | |
| 19 | ROJIAH | |
| 20 | SARJU MAT ROKHIDIN | |
| 21 | SUGENG MARGONO | |
| 22 | MUHAMAD MAHMUDI | |
| 23 | ABDUL ROHMAN | |
| 24 | MAMAY KUSMAYADI | |
| 25 | ABDUL MUJIB |