| No. | Nama | Paraf |
|---|---|---|
| 1 | NUR EFENDI | |
| 2 | MANSUR HIDAYAT | |
| 3 | KHOLIK MAWARDI | |
| 4 | ARIFIN | |
| 5 | ALMUSTAGHFIRIN | |
| 6 | SURATINI | |
| 7 | HM.AMIRUDIN S. | |
| 8 | MAHMUD SALAMUDIN | |
| 9 | TURMUDI SUSANTO | |
| 10 | ARI SETIYANTO | |
| 11 | MA'RUF HIDAYAH | |
| 12 | SURAT S. | |
| 13 | BUDI JAMRO | |
| 14 | KHUSAENI | |
| 15 | BAHRODIN | |
| 16 | JUNAERI | |
| 17 | JAMRONI | |
| 18 | MUKAERI | |
| 19 | JOHARI | |
| 20 | ARIF FAHRUDIN | |
| 21 | LUKMANUL HAKIM | |
| 22 | AHMADI | |
| 23 | RATNA NURMAWASARI |