| No. | Nama | Paraf |
|---|---|---|
| 1 | PURYANTO | |
| 2 | DWI MUHSOLIHIN | |
| 3 | MUCHARIFIN | |
| 4 | TABTHOZANI | |
| 5 | NUROCHMAN | |
| 6 | PAINI | |
| 7 | APRILIA YUNDA INDRASWATI | |
| 8 | ASROFI | |
| 9 | MUNGIN | |
| 10 | WALDI | |
| 11 | SARWADI | |
| 12 | MUHAIMIN | |
| 13 | KLIDIAH | |
| 14 | PARSIDI | |
| 15 | TUMINI | |
| 16 | MARYAMAH | |
| 17 | MUSLIH | |
| 18 | NGAHADI | |
| 19 | SISMUHADI | |
| 20 | JUMAI | |
| 21 | SUPRI | |
| 22 | ISTORI | |
| 23 | MUNARIYAH | |
| 24 | SUTIYAH | |
| 25 | AHMAD DEMO | |
| 26 | SISWANTO | |
| 27 | NGAHADI | |
| 28 | SUNOTO | |
| 29 | PONITI | |
| 30 | JUMADI | |
| 31 | KUWAT | |
| 32 | ROCHMADI | |
| 33 | MUHAMAD CHOIRUDIN | |
| 34 | SUKRON WAHID | |
| 35 | CHUSNI YAZID |