| No. | Nama | Paraf |
|---|---|---|
| 1 | DAWAM | |
| 2 | MUHAMAD ANAS | |
| 3 | ROZI IQBAL HANDOKO | |
| 4 | KARDI | |
| 5 | SUSANTO | |
| 6 | KHORIS TIARA | |
| 7 | ISTOLANI | |
| 8 | LINA SANIYA | |
| 9 | HARIS MIFTAKHUL ROHMAT | |
| 10 | TUYIMAH | |
| 11 | WAHYUDI | |
| 12 | ALFIYAH | |
| 13 | TRI RIDLO | |
| 14 | MUSTAKIM | |
| 15 | SUYONO | |
| 16 | RUMADI | |
| 17 | ISMINAH | |
| 18 | SUPARMILI | |
| 19 | AMAT ASRORI | |
| 20 | IHWAN | |
| 21 | SARIYADI | |
| 22 | SARINI | |
| 23 | TUMRAPNO | |
| 24 | NGARIYAH | |
| 25 | MARDANI | |
| 26 | MARIYADI | |
| 27 | SUTRISNO | |
| 28 | PONIDI | |
| 29 | SUDIRMAN | |
| 30 | ROSIDI | |
| 31 | MUH KHOIRUDIN | |
| 32 | AMAT MUCHOYIR | |
| 33 | SLAMET | |
| 34 | SUHRI | |
| 35 | MUNJARI | |
| 36 | MURSILATUN | |
| 37 | SENTOT | |
| 38 | DEDI AMRIZAL FARID NAWAWI | |
| 39 | ZUNANI | |
| 40 | ADIN SUSANTO | |
| 41 | NGAHADI | |
| 42 | SARIYADI | |
| 43 | MUH NDOR | |
| 44 | NASIHIN | |
| 45 | ZAMRONI | |
| 46 | MUJO | |
| 47 | PARWOTO | |
| 48 | PARWADI | |
| 49 | SLAMET RIYADI | |
| 50 | MURNI | |
| 51 | PARYANTO | |
| 52 | SOLIHIN | |
| 53 | TAUFIKUROHMAN |