| No. | Nama | Paraf |
|---|---|---|
| 1 | ISRO'I | |
| 2 | ADI SUKIRDIYANTO | |
| 3 | EKO HADI HIDAYAT | |
| 4 | MAKHFUDH SIDIQ | |
| 5 | BAMBANG RIYANTO | |
| 6 | SITI SA'ADAH | |
| 7 | FATIMAH | |
| 8 | ANIF MASFUR | |
| 9 | MUHAMAD MUNIF | |
| 10 | MUHAMAD FA'IDON | |
| 11 | FUAD HASAN | |
| 12 | KOMARUDIN ANWAR | |
| 13 | SITI HAFIDAH | |
| 14 | PARMUJI | |
| 15 | HADIRI | |
| 16 | SAHIRI | |
| 17 | SAHADI | |
| 18 | JUWADI | |
| 19 | MUFLIH SUDADI | |
| 20 | KHOTIJAH | |
| 21 | SUDAMIN | |
| 22 | TUHEDI | |
| 23 | SUCIPTO | |
| 24 | SARMILAH | |
| 25 | MUHDIYONO | |
| 26 | SUYADI | |
| 27 | SARDIYO | |
| 28 | SUATMAN | |
| 29 | SUCIYONO | |
| 30 | MIHROJI | |
| 31 | BUDIMAN | |
| 32 | BAWON | |
| 33 | SLAMET BUDIYONO | |
| 34 | SUWANDI | |
| 35 | SUKADI | |
| 36 | ROFI'I | |
| 37 | NGAMI | |
| 38 | WAHYUDI | |
| 39 | MA'RUF | |
| 40 | MUARIFIN | |
| 41 | ROJIIN | |
| 42 | RUDI AMIN | |
| 43 | AGUNG WIBOWO | |
| 44 | MUHAMMAD YUSUF | |
| 45 | MISBAHUL MUNIR | |
| 46 | EKO SATRIYO | |
| 47 | MUTOHIR |