| No. | Nama | Paraf |
|---|---|---|
| 1 | NUGROHO GINTING | |
| 2 | ADY WIBOWO | |
| 3 | SAPARDI | |
| 4 | EKO SUAMIN | |
| 5 | MUROFAH | |
| 6 | MUTA'AT | |
| 7 | IRFAN TAOFIK | |
| 8 | MISLAN | |
| 9 | MUNTOHIR ZAENI | |
| 10 | AMIN FUAT SYUKUR | |
| 11 | SOLICHIN | |
| 12 | FATIMAH | |
| 13 | ACHADUN | |
| 14 | NUDIN | |
| 15 | SUJONO | |
| 16 | MISLAN | |
| 17 | NURMUJI | |
| 18 | WAGINI | |
| 19 | YASRONI | |
| 20 | WAHYUDI KABUL | |
| 21 | SUDAL | |
| 22 | SOFANUDIN | |
| 23 | SRI RAHAYU | |
| 24 | RUWANTO | |
| 25 | NURHADI | |
| 26 | ANDRI LESMANA | |
| 27 | WACHIMAH | |
| 28 | SEPTO | |
| 29 | TUZAENI | |
| 30 | ISTIKOMAH |