| No. | Nama | Paraf |
|---|---|---|
| 1 | MUJIYATI | |
| 2 | TRIONO KRISTIANTO | |
| 3 | SABAR SUPYANTO | |
| 4 | ROHMAD SYAM'ANI | |
| 5 | AHMAD ISROFI | |
| 6 | TAAT WAHYONO | |
| 7 | SARNO | |
| 8 | AHMAD ROBANI | |
| 9 | SITI ZAEMAH | |
| 10 | JONI SUWANTO | |
| 11 | MAS'UD MA'ARIF | |
| 12 | PUJI ERNAWAN | |
| 13 | AFIFATUN NIKMAH | |
| 14 | AGUS PRAMONO | |
| 15 | RUSDI | |
| 16 | WALMINTO | |
| 17 | SUWARDI | |
| 18 | SUPRIYATI | |
| 19 | SUTIYO M. SUBCHAN | |
| 20 | NAISAH | |
| 21 | NGAMIDI | |
| 22 | MUJIYONO | |
| 23 | SUMAEDI | |
| 24 | WALUYO | |
| 25 | SIYAMI | |
| 26 | WIYARTO | |
| 27 | WALJITO | |
| 28 | MUH AHLAN | |
| 29 | RIYANTO | |
| 30 | ABDUL MALIK | |
| 31 | SUALDI | |
| 32 | SUHARI | |
| 33 | YASMITO | |
| 34 | SUKARMAN | |
| 35 | JUWARDI | |
| 36 | JAIS | |
| 37 | MUHAMMAD ASNGARI | |
| 38 | ADI NUGROHO | |
| 39 | MUHLAZIN | |
| 40 | IKHYA'UDIN |