| No. | Nama | Paraf |
|---|---|---|
| 1 | JUMALI | |
| 2 | MARIYAM | |
| 3 | EDI KURNIAWAN | |
| 4 | MUTASLIM | |
| 5 | AKHMAD MUSTOFA | |
| 6 | CAHYO DWI PURNOMO | |
| 7 | MUHAMAD GHULAM YAHYA | |
| 8 | TAOCHID | |
| 9 | TUMARI | |
| 10 | BARI | |
| 11 | BUNADI | |
| 12 | SUMERI | |
| 13 | MURTAFIK | |
| 14 | JUWAHIR | |
| 15 | MUYADI | |
| 16 | TUWARNO | |
| 17 | MULYONO | |
| 18 | MUCHYASIR | |
| 19 | ISWANDI | |
| 20 | ISROFI | |
| 21 | PONIDI | |
| 22 | SUKARDI | |
| 23 | SUYATI | |
| 24 | SARWADI | |
| 25 | DIDI ANDREAN | |
| 26 | AKHMAT ARIF SAIFUDIN | |
| 27 | SHODIQIN | |
| 28 | SAM'ANI | |
| 29 | WAHYUDI | |
| 30 | SUDIYO | |
| 31 | TUMINI | |
| 32 | TAUFIK | |
| 33 | MUKHAMAT HABIBI | |
| 34 | MOLANI | |
| 35 | MURTININGSIH |