| No. | Nama | Paraf |
|---|---|---|
| 1 | RAMINAH | |
| 2 | SUROTO | |
| 3 | MUFID ANSORI | |
| 4 | ROMELAH | |
| 5 | AMAT ISKAK | |
| 6 | AMAT PARYONO | |
| 7 | TURYANTO | |
| 8 | MUH SUPLANI | |
| 9 | TASMIIN | |
| 10 | SUPANGAT | |
| 11 | ISWANDI | |
| 12 | AHMAD FAHRODIN | |
| 13 | JASMAN | |
| 14 | RUSDI | |
| 15 | ARIYADI | |
| 16 | MAT CHARISIN | |
| 17 | HARIS ABDUL FATAH | |
| 18 | AHMAD FAHROZI | |
| 19 | SUPRIYONO | |
| 20 | SISWOYO | |
| 21 | MU'AZIS | |
| 22 | AMAT ZUHRI | |
| 23 | SUKRON MAKMUN | |
| 24 | IMAM ASY'ARI | |
| 25 | TUYAENI | |
| 26 | LUKMAN HIDAYAT | |
| 27 | IWAN SUSANTO |