| No. | Nama | Paraf |
|---|---|---|
| 1 | TRI GHASLUN MUHAMMAD ARGIANTO | |
| 2 | SURYADI | |
| 3 | WARDIYAH | |
| 4 | MAWARIYAH | |
| 5 | KUSMAN | |
| 6 | AHMAT ROZIKIN | |
| 7 | SALAFUDIN | |
| 8 | SRIYANTO | |
| 9 | SALAM | |
| 10 | PARYADI | |
| 11 | M. MUHYIDDIN | |
| 12 | SYIHABUDDIN | |
| 13 | SURATMI | |
| 14 | SUGIYANTO | |
| 15 | JUMALI | |
| 16 | ARIS SETIYONO | |
| 17 | SUALIM | |
| 18 | MUNAWIR | |
| 19 | NUR CHAFIDIN | |
| 20 | MUHAMAD MAHLUDIN ROHMAN |