| No. | Nama | Paraf |
|---|---|---|
| 1 | IWAN FATOLIP | |
| 2 | NURHIDAYAT | |
| 3 | WARSILAH | |
| 4 | SUWADI | |
| 5 | ENI OMAWATI | |
| 6 | SUPRIYANTO | |
| 7 | YUSRIYANTO | |
| 8 | ARFAN SHOLEH | |
| 9 | ABDURROHMAN | |
| 10 | BUDI SANTOSO | |
| 11 | HASAN AS'ARI | |
| 12 | SARSIYAH | |
| 13 | SUPROYO | |
| 14 | AMIN SANTOSO | |
| 15 | MUHYADI | |
| 16 | SUTARYO | |
| 17 | SURATI | |
| 18 | SAMSIYAH | |
| 19 | ISTAMAR | |
| 20 | JARYONO | |
| 21 | SUTINI | |
| 22 | YASIN | |
| 23 | YAHINI | |
| 24 | NURHUDA | |
| 25 | KAMADI | |
| 26 | ISMADLON | |
| 27 | YASTOYO | |
| 28 | TUMINEM | |
| 29 | IRWANTO | |
| 30 | SUWARNO | |
| 31 | SAPONAH | |
| 32 | ARSAD BAKRI | |
| 33 | FAUZAN MAULANA | |
| 34 | ALFA MISBAHUDIN RIFAI | |
| 35 | HAMID SUGENG | |
| 36 | AGUS FAUZI | |
| 37 | ROFI'I PRASETYO | |
| 38 | AMIN MUSWAH | |
| 39 | BEJO HASAN MUSTOFA | |
| 40 | SUEDI | |
| 41 | AHMAD FAUZI | |
| 42 | NUR THOIBAH | |
| 43 | SUNARDI | |
| 44 | MUHYANTO | |
| 45 | PARMI | |
| 46 | H. SISWANTO | |
| 47 | SUWADI | |
| 48 | ILMAN NAFI'AN | |
| 49 | NUR KHOIRUDIN | |
| 50 | KHATMO M. | |
| 51 | MUHAMMAD SIROJUDIN | |
| 52 | RUKIYEM | |
| 53 | SARWANTO |