| No. | Nama | Paraf |
|---|---|---|
| 1 | TUMINAH | |
| 2 | FATAKHUR ROHMAN | |
| 3 | GANDAYANI | |
| 4 | JUWARIYAH | |
| 5 | MELIK RIYONO | |
| 6 | HARTONO | |
| 7 | HENDRO WIBOWO | |
| 8 | RUSMIN | |
| 9 | SUKIRMAN | |
| 10 | SLAMET | |
| 11 | DARMADI | |
| 12 | AHMAD FUADI | |
| 13 | PARTINI | |
| 14 | ROHMAD | |
| 15 | ZAENUDIN | |
| 16 | SAMSUDIN | |
| 17 | SURYANTO | |
| 18 | TUKIJAN | |
| 19 | SUPARMO | |
| 20 | MUHAMAD MARWAH | |
| 21 | SRI UTAMININGSIH | |
| 22 | MEDI HARSONO | |
| 23 | AL REZAL | |
| 24 | SUGENG PRIYANTO | |
| 25 | NUR AMIN | |
| 26 | JAMALUDIN |