| No. | Nama | Paraf |
|---|---|---|
| 1 | SLAMET MARYONO | |
| 2 | PRADITA ARI SAPUTRA | |
| 3 | MOHAMAD SHODIK AWALUDIN | |
| 4 | SITI SA'IDAH | |
| 5 | MUSAFARIN | |
| 6 | RUMINAH | |
| 7 | TA'RAUF YUSUF | |
| 8 | SUMIYATI TENTREM | |
| 9 | RONDIYAH | |
| 10 | KABUL | |
| 11 | FAIYUN | |
| 12 | SAIFUDIN ZUHRI | |
| 13 | MA'MUN MUBAROK | |
| 14 | KHAMIM AFANDI | |
| 15 | SRI RESMIYATI | |
| 16 | MUHYIDIN | |
| 17 | MUHAMAD WARIDI | |
| 18 | ASROFI | |
| 19 | SUDI | |
| 20 | SUPRI ARIYANTO | |
| 21 | SARJONO | |
| 22 | RADI | |
| 23 | ASMUDI | |
| 24 | SAMSI | |
| 25 | AGUS TRIYANA | |
| 26 | SOLIKIN | |
| 27 | SUGENG | |
| 28 | DAHMI | |
| 29 | SAMINAH | |
| 30 | MOHAMAD AMIRUDIN LATIEF | |
| 31 | IWAN ABDUL AZIS | |
| 32 | MUHRONI | |
| 33 | MUH LASIN | |
| 34 | MAKSUM | |
| 35 | MUHAMIN | |
| 36 | KUMPUL |