| No. | Nama | Paraf |
|---|---|---|
| 1 | NUNUNG SITI JARONAH | |
| 2 | DARYANTI | |
| 3 | PRIYANTO | |
| 4 | MUKHAMAD SOLIKHIN | |
| 5 | SLAMET MUJIYONO | |
| 6 | AMRIH | |
| 7 | ICHWAN SODIQ | |
| 8 | FAJAR RUSLI | |
| 9 | IMAM ARIFIN | |
| 10 | MUHAMMAD RIKHIR ROKHIMIN | |
| 11 | TAUFIK ADRIAWAN | |
| 12 | SURYANTO | |
| 13 | ENNY TRI HARYATI | |
| 14 | SLAMET RIYADI | |
| 15 | SUPADI | |
| 16 | MUSTOFA | |
| 17 | MUNZAENAH | |
| 18 | DARLINTO | |
| 19 | TUKIYEM | |
| 20 | SURYONO | |
| 21 | RIBUT | |
| 22 | AMAD YAMIDI | |
| 23 | PURWANTO | |
| 24 | MUNISAH | |
| 25 | SAMADI | |
| 26 | BEJO | |
| 27 | SUKADI | |
| 28 | SLAMET YULIYANTO | |
| 29 | BUDI WAHONO | |
| 30 | DARIYAH | |
| 31 | RISQI YUNIS TAUFIQ | |
| 32 | SUDARSIH | |
| 33 | YAKUP | |
| 34 | WAHONO | |
| 35 | SUDARI | |
| 36 | WIDI SETYAWAN |