| No. | Nama | Paraf |
|---|---|---|
| 1 | MUJIYONO | |
| 2 | MUSTHOFAL ANAM | |
| 3 | ISTOFANI | |
| 4 | SUYONO | |
| 5 | SUWARTI | |
| 6 | TRIYONO | |
| 7 | KOMARIYAH | |
| 8 | SUPRIYANTO | |
| 9 | SUWALDI | |
| 10 | EKA DAVIT SETYADI | |
| 11 | MUSAFI'I | |
| 12 | NURWANTO | |
| 13 | MUJIYONO | |
| 14 | MUKOFIN | |
| 15 | ROCHMADI | |
| 16 | ZAENAL MAKHASIN | |
| 17 | MUH TASORIFIN | |
| 18 | MUKHAMAD MAKRUF | |
| 19 | ABDUL AZIZ | |
| 20 | SUGIYANTO | |
| 21 | RAMIYONO | |
| 22 | MUSLIHANTO |