| No. | Nama | Paraf |
|---|---|---|
| 1 | TUTIN FARIDAH | |
| 2 | YAHYA | |
| 3 | ALSIN MUALAFAH | |
| 4 | SAJIMIN | |
| 5 | INTO'IYAH | |
| 6 | PARING | |
| 7 | ROECHAN TRI UTOMO | |
| 8 | AMIN WAHYUDI | |
| 9 | MUCHAMMAD NASIKHUN | |
| 10 | RINA WATI | |
| 11 | ANDI GUNARSO | |
| 12 | KASERI | |
| 13 | IRKHAM RIYADI | |
| 14 | MUSLICH | |
| 15 | RUMADI | |
| 16 | NGABDAN | |
| 17 | NAFSIYAH | |
| 18 | AHMAD CHUZAENI | |
| 19 | MUCHAMMAD ICHWAN | |
| 20 | MIYANTO | |
| 21 | NASHOKHA | |
| 22 | MUHTAROM | |
| 23 | USNADI | |
| 24 | NUR KHUSEN | |
| 25 | ANSORI | |
| 26 | JUWARNO | |
| 27 | TAMRIN HIDAYAT | |
| 28 | MAT FAUZAN | |
| 29 | SUGENG MUSLIM | |
| 30 | AGUS SYAIFUL MUJAB |