| No. | Nama | Paraf |
|---|---|---|
| 1 | NUR LAELIYAH | |
| 2 | NUR ROHIM | |
| 3 | MUHAMAD YUSUF RIZKI | |
| 4 | AFIFFUDIN | |
| 5 | ALI SOLEHAN | |
| 6 | MISMAN | |
| 7 | MISRAN | |
| 8 | MANSUR IRWANTO | |
| 9 | SHOLIHUN | |
| 10 | MUCHSIN | |
| 11 | MUDIYONO | |
| 12 | RUWADI | |
| 13 | SURADI | |
| 14 | MUTINI | |
| 15 | SOLIKIN | |
| 16 | DINIYAH | |
| 17 | JUWADI | |
| 18 | NGATMAN | |
| 19 | SUMARDI | |
| 20 | SUYITNO | |
| 21 | ROMBIYAH | |
| 22 | MUHRONI | |
| 23 | SUKIRMAN | |
| 24 | KUWAT PITOYO | |
| 25 | RUSDI | |
| 26 | MISYANTO | |
| 27 | NASICHIN | |
| 28 | RUMIJAH | |
| 29 | MUHAMMAD WAKHID MUBAROK | |
| 30 | MUHAMAD ROFII | |
| 31 | SABARUDIN |