| No. | Nama | Paraf |
|---|---|---|
| 1 | FATHUROHMAN | |
| 2 | MUKADI | |
| 3 | SHOHIB ANWAR | |
| 4 | SUJARWADI | |
| 5 | ROMADLON | |
| 6 | SARENGAT | |
| 7 | AHMAD ALDI IRFAN | |
| 8 | AGUS ULUL ALBAB | |
| 9 | SARIYONO. | |
| 10 | SLAMET FUAD | |
| 11 | MUH KOMARI | |
| 12 | YAMSIDAH | |
| 13 | MUNTASIB | |
| 14 | ISNANIK | |
| 15 | ISTINAH | |
| 16 | ISTIKOMAH | |
| 17 | ROCHMAT | |
| 18 | MURSIDI | |
| 19 | ASDUKI | |
| 20 | SLAMET SAEFUDIN | |
| 21 | NAWAWI | |
| 22 | SUSANTO | |
| 23 | TOMMIDIL PERO | |
| 24 | MUHLAS | |
| 25 | ACHMAD JAZULI | |
| 26 | MAT DELAN | |
| 27 | SLAMET SAFI'I | |
| 28 | ARIFIYANTO | |
| 29 | YATIMAH | |
| 30 | MULWATI | |
| 31 | TRI ANDRIYANTO | |
| 32 | MUTAMAH | |
| 33 | PONIYO |