| No. | Nama | Paraf |
|---|---|---|
| 1 | RIBUT ROSO | |
| 2 | TUWARTI | |
| 3 | FANDOLI ROHMAN | |
| 4 | FI MUDRIKAH | |
| 5 | ARIF SRIYONO | |
| 6 | NUR TAKYIN | |
| 7 | NANIK ANISA | |
| 8 | ISROK KHAERONI | |
| 9 | FAHRODIN | |
| 10 | SITRIS | |
| 11 | AMAT MUNDAKIR | |
| 12 | SUMARYO | |
| 13 | MIFTAHUDIN | |
| 14 | HARYATI | |
| 15 | NUROCHIM | |
| 16 | SUCHURYADI | |
| 17 | WAHYUDI | |
| 18 | SUYAMTO | |
| 19 | SISWANTO | |
| 20 | HADIRIN | |
| 21 | RUMINAH | |
| 22 | KLUMPUK | |
| 23 | SLAMET ISKANDAR | |
| 24 | SUMARDI | |
| 25 | SLAMET MULYONO | |
| 26 | SUKIRMAN | |
| 27 | ASRIFIN | |
| 28 | MUHYARI | |
| 29 | HASAN | |
| 30 | YAENI | |
| 31 | TUWADI | |
| 32 | SLAMET ISWANDI | |
| 33 | SAMSUKUR | |
| 34 | RUMMALIKA ULFA |