| No. | Nama | Paraf |
|---|---|---|
| 1 | RIAN WALUYO | |
| 2 | PONIKEM | |
| 3 | ERMINA WAGINAH | |
| 4 | KHUZAEMAH | |
| 5 | IRFA'I | |
| 6 | RATINEM | |
| 7 | WAGIYEM | |
| 8 | RUWAHMIN | |
| 9 | RUSDI SOLEH | |
| 10 | WAHADI | |
| 11 | NUNUNG ISMIASIH | |
| 12 | SULASDI | |
| 13 | PAWIT ISMAN | |
| 14 | SARMONO | |
| 15 | MUH SUPANDI | |
| 16 | SETIYONO | |
| 17 | MUDAWAM | |
| 18 | MARJAN MAFAKIR | |
| 19 | MARYANTO | |
| 20 | ARIYADI | |
| 21 | SUGITO | |
| 22 | WASIIN | |
| 23 | SAFII | |
| 24 | HADI WINARTO | |
| 25 | PRISTIWANTO | |
| 26 | TRIYONO | |
| 27 | GANIRAN | |
| 28 | ARIS PRIYANTO | |
| 29 | SOLIKHAH | |
| 30 | HASIM |