| No. | Nama | Paraf |
|---|---|---|
| 1 | RAJIF EFENDI | |
| 2 | MUHAJIRIN | |
| 3 | TUKINI | |
| 4 | RUSNAYO | |
| 5 | ISROI | |
| 6 | DAWAM SOLIKIN | |
| 7 | DAHRONI | |
| 8 | MUH DANURI | |
| 9 | KARTO KUMPUL | |
| 10 | SUKIRAN | |
| 11 | SUMARI | |
| 12 | MARKONAH | |
| 13 | NUR EFFENDI | |
| 14 | RUSPANDI SISWANTO | |
| 15 | KOMIYATI | |
| 16 | HARTONO | |
| 17 | SISWANTO | |
| 18 | SURADI | |
| 19 | SAMSINAH | |
| 20 | ROZAUL | |
| 21 | SUMARLAN | |
| 22 | SALAMI | |
| 23 | MULYONO | |
| 24 | NUR ZARKONI | |
| 25 | SUDIYONO | |
| 26 | DIYARNO | |
| 27 | MUHAMMAD SYIHABUNNAJIH | |
| 28 | MUJI KABUL | |
| 29 | MUH ROKHIM | |
| 30 | MARSAN | |
| 31 | SABAR | |
| 32 | SULISTIYO | |
| 33 | TRIYANTI | |
| 34 | BUNAWAR | |
| 35 | WINARTO | |
| 36 | NIKMAH | |
| 37 | NUR FUAD | |
| 38 | SUPRIYO | |
| 39 | SU'IR | |
| 40 | NUR KHOLIS | |
| 41 | NURSONI | |
| 42 | BUNAWAR | |
| 43 | BUDIYANTO | |
| 44 | SYAMSUDIN | |
| 45 | ARIFIN | |
| 46 | SUWARIYATI | |
| 47 | SUHARIYANTO |