| No. | Nama | Paraf |
|---|---|---|
| 1 | MUSAROFAH | |
| 2 | ABDUL MALIK NUGROHO | |
| 3 | SUSANTO | |
| 4 | MUSRINAH | |
| 5 | ERNA WIDAYANTI | |
| 6 | WALNO | |
| 7 | AGUS ZAENAL | |
| 8 | TUGINO | |
| 9 | JUMADI | |
| 10 | FITRIA INDARYANTI | |
| 11 | KIRMADI | |
| 12 | MUSLIMIN | |
| 13 | WALIYADIN | |
| 14 | IN SRI SUBEKTI | |
| 15 | MUJARI | |
| 16 | ISRIYAH | |
| 17 | SUYOTO | |
| 18 | WAKIRAH | |
| 19 | SUMISDI | |
| 20 | MULYANTO | |
| 21 | ZUHRI | |
| 22 | HADI SOFWAN | |
| 23 | PURYONO | |
| 24 | MUDHOFAR | |
| 25 | DJUHRI | |
| 26 | HARUN | |
| 27 | WAGINI | |
| 28 | SISWANTO | |
| 29 | SUMARNO | |
| 30 | ROKHIMIN | |
| 31 | MIFTAHUDDIN ATHOILLAH | |
| 32 | SOFIUDIN FATAHILLAH | |
| 33 | NUR ROHMAN | |
| 34 | MUSDALIFAH |