| No. | Nama | Paraf |
|---|---|---|
| 1 | SULIYAH | |
| 2 | KHASANAH | |
| 3 | ARIF RAHMAWAN | |
| 4 | MAT NURODIN | |
| 5 | AHMAD SUSANTO | |
| 6 | NANANG SURYOKO | |
| 7 | NUR HASIM | |
| 8 | ABI RAMDANI | |
| 9 | DARTO | |
| 10 | YUDA SANTOSO | |
| 11 | TEGAR CHAQIQI | |
| 12 | BAMBANG SUSANTO | |
| 13 | YUHERMAN | |
| 14 | WAKHID KURNIYAWAN | |
| 15 | YOGA GINANJAR | |
| 16 | SUMARLIYAH | |
| 17 | SUPRIYANTO | |
| 18 | SAMSU HIDAYAT | |
| 19 | AMAT NGADENAN | |
| 20 | JOKO SUSILO | |
| 21 | SAMSUDI | |
| 22 | ROHMAT ANIFAN | |
| 23 | ISTIPAH | |
| 24 | ACHMALUDIN | |
| 25 | SUKAESIN | |
| 26 | SARDIMAN | |
| 27 | RUSMINI | |
| 28 | MASKUR | |
| 29 | WALUYO | |
| 30 | ZAENAL ARIFIN | |
| 31 | SULIMAH | |
| 32 | SAMSUL HUDA | |
| 33 | RUSYONO | |
| 34 | SUTARMAN | |
| 35 | EKO UTOMO | |
| 36 | MAFTUHIN | |
| 37 | KIPTIYAH | |
| 38 | MU'ADI | |
| 39 | ISA NUR WAHID | |
| 40 | BUDIYONO | |
| 41 | YEYEN | |
| 42 | SUPRIYANTO | |
| 43 | ROKHMAT SUKAMTO | |
| 44 | INDRA GUNARDI | |
| 45 | MUNIYAH | |
| 46 | MURNI | |
| 47 | TAMAT | |
| 48 | SUKARDI | |
| 49 | LIPTRIYONO |