| No. | Nama | Paraf |
|---|---|---|
| 1 | MILAT HELDIYANSYAH | |
| 2 | SURATMI | |
| 3 | SUUT PURNOMO | |
| 4 | KHAERUN | |
| 5 | ANDIKA BAGUS EKA SAPUTRA | |
| 6 | SALAMAH | |
| 7 | SURATMAN | |
| 8 | NUR KHANIF | |
| 9 | SAMUN ACHMAD NUR ICHSAN | |
| 10 | JUMADI | |
| 11 | AMIN SUCIPTO | |
| 12 | TOJIMAH | |
| 13 | DAHRONI | |
| 14 | SOLIKUN | |
| 15 | ISMINAH | |
| 16 | SUBANI | |
| 17 | ACHMAD NASRODIN | |
| 18 | RUMDI | |
| 19 | AGUS SUPRIYADI | |
| 20 | ALFIJAH | |
| 21 | MUH IRFAN | |
| 22 | SUNARTO | |
| 23 | SUSANTO | |
| 24 | SLAMET | |
| 25 | SISWANTO | |
| 26 | TRI NURSIH | |
| 27 | MUH KINDHIR | |
| 28 | AHMAD NURYADIN | |
| 29 | MUSLIMIN | |
| 30 | MUYONO | |
| 31 | SUMINAH | |
| 32 | RONI AGUS SUSANTO | |
| 33 | DIKI FERI ANDI | |
| 34 | SITI WAKIDAH | |
| 35 | TRI WAHYUDIN |