| No. | Nama | Paraf |
|---|---|---|
| 1 | MUSLIMIN | |
| 2 | ROSY EKO SAPUTRO | |
| 3 | AGUS RIYANTO | |
| 4 | ZULIYAH | |
| 5 | AHMAD | |
| 6 | NANANG ANDRIWANTO | |
| 7 | DWI LESTARI | |
| 8 | M. ZAMRONI AL ANSARI | |
| 9 | M ZAMRONI AL ANSARI | |
| 10 | KHORISODIN | |
| 11 | SUJINAH | |
| 12 | MARSIDAH | |
| 13 | PRASETYO | |
| 14 | MUH AKHROM | |
| 15 | DWI STYOWATI | |
| 16 | IHSANUL HUDA | |
| 17 | SYAUQI KHADIDI | |
| 18 | BUDI WALUYO | |
| 19 | ZAENAL ARIFIN | |
| 20 | SULASIH | |
| 21 | SUKARTINI | |
| 22 | DJUMADI | |
| 23 | MAD KHAMIM | |
| 24 | MARYAMAH | |
| 25 | MAD KHAMDI | |
| 26 | PRAPTO | |
| 27 | TAMYIS | |
| 28 | BEDO SUDIYONO | |
| 29 | SURAMIN | |
| 30 | ISTOYO | |
| 31 | SUWONO | |
| 32 | MUH KIRDI | |
| 33 | WANTOYO | |
| 34 | ASIP SUHUDI | |
| 35 | BUSRI | |
| 36 | SODIKIN | |
| 37 | KABUL | |
| 38 | NURHADI | |
| 39 | SLAMET | |
| 40 | SAMHARI | |
| 41 | SUWANDI | |
| 42 | BASUKI WASIYO | |
| 43 | ISROFI | |
| 44 | ZAMRODIN | |
| 45 | SLAMET AHYADI | |
| 46 | ISTIPUN | |
| 47 | AKHMAD NGAFIF | |
| 48 | EKO PURWANTO | |
| 49 | SUKADI | |
| 50 | BAWON | |
| 51 | AHMAD NURSYAMSU | |
| 52 | DWI JOKO PURNOMO | |
| 53 | FATONI | |
| 54 | ROZIKIN | |
| 55 | DAHYATI | |
| 56 | ZAENAL FAIZIN | |
| 57 | MUHAMMAD SEPTIAR ANGGI | |
| 58 | SUSANTO | |
| 59 | SHOKHIBUL KHOTAMI | |
| 60 | MUSLIM MASHUDI | |
| 61 | WINARDI | |
| 62 | EKA PUJI RAHAYU | |
| 63 | MUHAMAD AGUS CHANIF |