| No. | Nama | Paraf |
|---|---|---|
| 1 | SUBAEDI | |
| 2 | MUHAMAD AZIZ | |
| 3 | SALMI | |
| 4 | ISRODIN | |
| 5 | BUDI WAHYONO | |
| 6 | ISROWIYATI | |
| 7 | MUHAMAD NASIRUDIN | |
| 8 | LUKMAN HAKIM | |
| 9 | MUHAMIN | |
| 10 | MUFIN ALREZA | |
| 11 | WAGIYEM | |
| 12 | ADITYA KRISWINARSO | |
| 13 | RUWITO | |
| 14 | SUNDARI | |
| 15 | SITI FATIMAH | |
| 16 | SURAWAN | |
| 17 | MIFTAKUL | |
| 18 | JUMADI | |
| 19 | MUJIBATUN SALAMAH | |
| 20 | KOMARI | |
| 21 | NGADIMAN | |
| 22 | MUDIYONO | |
| 23 | SARJU | |
| 24 | ROHMAT KODI | |
| 25 | KARDI | |
| 26 | LASIYO | |
| 27 | MAHMUDI | |
| 28 | TRIMAKNO | |
| 29 | TUKIJAN | |
| 30 | ASYHURI | |
| 31 | SAREH | |
| 32 | NGADIRAH | |
| 33 | RIYADI | |
| 34 | ASRORI | |
| 35 | DAHONO | |
| 36 | ISWADI | |
| 37 | DAHMIN | |
| 38 | SUGIYANTO | |
| 39 | AHMAD SHOLEHAN | |
| 40 | ISTIYANAH | |
| 41 | AHMADI | |
| 42 | BADERI | |
| 43 | ARIF NAWAWI | |
| 44 | EKO SUSANTO | |
| 45 | ERI WALUYO | |
| 46 | MAHSUN | |
| 47 | LONO BUDIYANTO | |
| 48 | FATHURROHMAN | |
| 49 | WARI | |
| 50 | MUHAMAD ROSID | |
| 51 | GATHOT HANANTO | |
| 52 | KHAIRUDIN | |
| 53 | NUR MUHAMMAD |