| No. | Nama | Paraf |
|---|---|---|
| 1 | SUWARDI | |
| 2 | SLAMET SUPRIHATIN | |
| 3 | TANFIRUL ANWARI | |
| 4 | AKHMAD KHAERONI | |
| 5 | ARIF WIDANAR | |
| 6 | MERLIK | |
| 7 | AGUS MA'MUN SYAIFUDIN | |
| 8 | ANDRI ISTANTO | |
| 9 | SITI MAWADAH WAROHMAH | |
| 10 | SAMUDI | |
| 11 | MUGIMAN | |
| 12 | TUMADI | |
| 13 | URIP SUPRIYATI | |
| 14 | MUNIRON | |
| 15 | MUJIYANTO | |
| 16 | PARWITO | |
| 17 | WARNOTO | |
| 18 | MUSTAKIR MUFTI | |
| 19 | KUSNIYAH ROKHAYATI | |
| 20 | SURATIN | |
| 21 | SUKANDAR | |
| 22 | WARINI | |
| 23 | MUSLIMIN | |
| 24 | YAMUDI | |
| 25 | TRIYANTO | |
| 26 | ZAMAKSARI | |
| 27 | ISMUL | |
| 28 | MARYOTO | |
| 29 | SISWANTO | |
| 30 | MUSLIH | |
| 31 | SUPANGAT | |
| 32 | MUKIYADI | |
| 33 | MUHARI | |
| 34 | HARMINI | |
| 35 | SUMARYO | |
| 36 | ZUDA ANIS ONTONG ARIFIN | |
| 37 | KUS BUDIANTO | |
| 38 | DREMI KUSMIYATI | |
| 39 | JOKO MEITANTO | |
| 40 | EKO SUSANTO | |
| 41 | SITI MARIYAH |