| No. | Nama | Paraf |
|---|---|---|
| 1 | RACHMAT SUTOMO | |
| 2 | MUCHAMMAD ANWAR NGALWI | |
| 3 | SURYANI | |
| 4 | SYUKUR SETIYAWAN | |
| 5 | FAJAR ARIYANTO | |
| 6 | TRIMO | |
| 7 | RUGIMAH | |
| 8 | ARIYA ARIF TSANI | |
| 9 | HARTONO | |
| 10 | ACHMAD DAWUD | |
| 11 | ROCHYANTO | |
| 12 | RENI TRI ASTUTI | |
| 13 | SURONO | |
| 14 | SARIYADI | |
| 15 | KUSMIN | |
| 16 | MARIYO | |
| 17 | WAHYUDI | |
| 18 | KLINEM | |
| 19 | DJUMAEDI | |
| 20 | SUAJI | |
| 21 | R. TRIJONO | |
| 22 | SUBINI | |
| 23 | SUPARNO | |
| 24 | DARSONO | |
| 25 | SALIMAH | |
| 26 | M. HERU MULYANTO | |
| 27 | ROCHMAD HIDAJAD | |
| 28 | HERU SUNARSO | |
| 29 | SABARIYAH |