| No. | Nama | Paraf |
|---|---|---|
| 1 | URIP DARTI | |
| 2 | ERNA ZULAECHAH | |
| 3 | CECEP PRATOLO | |
| 4 | MUHAMMAD AMIN MASKUR | |
| 5 | HENDRA PILIANG | |
| 6 | BUDIMAN | |
| 7 | MIFTAHUL KHOIRI | |
| 8 | NUROKHIM | |
| 9 | MUHTADIN | |
| 10 | ILMAN | |
| 11 | ABDUL ROSID | |
| 12 | MUHAMMAD NASIKHIN | |
| 13 | MUHAMAD ROFIQ | |
| 14 | SLAMET | |
| 15 | SLAMET RIYANTO | |
| 16 | REMBEN | |
| 17 | SUYADI | |
| 18 | MARSIDI | |
| 19 | ZAINUDIN | |
| 20 | SARIMIN | |
| 21 | PAINAH | |
| 22 | ROHMAT | |
| 23 | ARIYONO | |
| 24 | AHMAD ADI PURNOMO | |
| 25 | MARLIYAH | |
| 26 | SAMRONI | |
| 27 | FERI KHAFIDH MUHLIS | |
| 28 | SRIYANAH | |
| 29 | ZAMIYAH | |
| 30 | WASILATURROCHMAH | |
| 31 | SITI BADRIYAH | |
| 32 | BUDIYONO | |
| 33 | SAJURI | |
| 34 | BENI YULIANUS | |
| 35 | MUSAFAK | |
| 36 | TUGINO | |
| 37 | ROMELAH | |
| 38 | ROMANDON | |
| 39 | ASFARONI |