| No. | Nama | Paraf |
|---|---|---|
| 1 | SITI ZULAIKAH | |
| 2 | BRIYAN NAZAR IKHSAN | |
| 3 | ROFI LINASARI | |
| 4 | MUH ILHAM | |
| 5 | MUKIDAH | |
| 6 | SAMSUDIN | |
| 7 | MUJIRAN | |
| 8 | SUMHAJI | |
| 9 | IRIYANTO | |
| 10 | MUH BARDAN | |
| 11 | MARGONO | |
| 12 | ACHMAD KAELANI | |
| 13 | WARDAYA | |
| 14 | WAHYUDI | |
| 15 | UMAR SAID | |
| 16 | MUHTURI | |
| 17 | RINDUWAN | |
| 18 | RUMIJO | |
| 19 | SLAMET SARMADI | |
| 20 | AHMAT SULIS TRIYANTO | |
| 21 | EKO PRASETYO | |
| 22 | SARKONI | |
| 23 | WALUYO | |
| 24 | BUDI HARTOYO | |
| 25 | JAMI |