| No. | Nama | Paraf |
|---|---|---|
| 1 | MUSLIKHAH | |
| 2 | SLAMET ARLENA | |
| 3 | AS'ARI | |
| 4 | MARKAMI | |
| 5 | IMBUH MISDI | |
| 6 | DULMIDAH | |
| 7 | MUHTAMILAN | |
| 8 | AGUS SUGIYANTO | |
| 9 | ROHMADI | |
| 10 | NUR KHOIRODIN | |
| 11 | PONIMIN | |
| 12 | ROHMAD | |
| 13 | PONITI | |
| 14 | SURURI | |
| 15 | KARMANI | |
| 16 | MUSRIFAH | |
| 17 | SURURI | |
| 18 | MUYARKONI | |
| 19 | BARI | |
| 20 | KARMIN | |
| 21 | DAHURI | |
| 22 | MAHRODIN | |
| 23 | WAHYUDI | |
| 24 | CHAMIDAH | |
| 25 | MUKSIN | |
| 26 | IKHWAN | |
| 27 | MUHDIRI | |
| 28 | ROHMADI | |
| 29 | MUHSARI | |
| 30 | WALDIYONO | |
| 31 | I 'ANAH | |
| 32 | MUHAMAD SAIFUDIN | |
| 33 | ROHMADI | |
| 34 | SLAMET SARYUDI | |
| 35 | MUH SAMSUDIN |