| No. | Nama | Paraf |
|---|---|---|
| 1 | MUAFIQ ANDHI SUDOMO | |
| 2 | NARWIYATI | |
| 3 | ATHO' ILLAH AINURRIDLO | |
| 4 | NANANG SAFI'I | |
| 5 | ZUAMAH | |
| 6 | ADRI MUSTAUFI | |
| 7 | TASMINAH | |
| 8 | MUHAMMAD AL ANSHORI | |
| 9 | HADI PRASETYO | |
| 10 | NASRIYAH | |
| 11 | URIP | |
| 12 | ARIF WALIYANTO | |
| 13 | MUHTAR | |
| 14 | SUPADI | |
| 15 | SYAM'ANI | |
| 16 | DAHNO | |
| 17 | SLAMET SUPRIYO | |
| 18 | MUADLIM | |
| 19 | RIDWAN | |
| 20 | SUKIYAT | |
| 21 | MUSYAFA' | |
| 22 | MARLAN | |
| 23 | SUSANTO | |
| 24 | ASRORI | |
| 25 | ARDANI | |
| 26 | SUPARLAN | |
| 27 | BAKDIYAH | |
| 28 | BADRUN | |
| 29 | RUSIDAH | |
| 30 | DANURI | |
| 31 | SAMSUDI | |
| 32 | KENYUK TUWADI | |
| 33 | ACHMAD GIMAN | |
| 34 | MUKMININ | |
| 35 | SUKARNO | |
| 36 | MAKMUN | |
| 37 | NUR CHAMID | |
| 38 | MUNJIYAT | |
| 39 | SUWITO | |
| 40 | JUMALI | |
| 41 | AHMAD SIROT | |
| 42 | SAMRONI | |
| 43 | BANPO PUJO WIDODO | |
| 44 | ASASUS SALIMAH | |
| 45 | TINTRIM SETYORINI | |
| 46 | MURDIYATI | |
| 47 | NYAMLIK | |
| 48 | DILA UTA MAYA | |
| 49 | SLAMET ARBAIN | |
| 50 | YUDHI YANUAR ARDHIANSA | |
| 51 | SUBAGIYONO | |
| 52 | ARMANTO | |
| 53 | SUTRIMO | |
| 54 | MUSLICHUN | |
| 55 | SHODIQ | |
| 56 | ICHWAN | |
| 57 | KHUNJANI | |
| 58 | BUDI MASYKUR | |
| 59 | WINARTI | |
| 60 | MUNIRON | |
| 61 | SLAMET SUPRIYADI | |
| 62 | WIDARSONO | |
| 63 | HABIB SHOLIH | |
| 64 | SHOLICHUDIN |