| No. | Nama | Paraf |
|---|---|---|
| 1 | ZAITUN | |
| 2 | SUMAKNO | |
| 3 | MAS'UDI | |
| 4 | AKHMAD RISYONO | |
| 5 | FEPNA PRIYONO | |
| 6 | AHMAD FATONI | |
| 7 | SRI PURWATI | |
| 8 | ARI HERMAWANTO | |
| 9 | SILMIYAH | |
| 10 | AHMAD SAMSUN | |
| 11 | SUGENG | |
| 12 | PRIYATNO | |
| 13 | SUMARDI | |
| 14 | BADARODIN | |
| 15 | MUHYAYIN | |
| 16 | MUHDI | |
| 17 | RIDWAN KUSNADI | |
| 18 | SUHARMAN | |
| 19 | SUNARDI | |
| 20 | SAMSUDI | |
| 21 | MUH SOLIKHUN | |
| 22 | NURUL HUDA | |
| 23 | PONIDI | |
| 24 | AHMAD SIDIN | |
| 25 | MUHRIN | |
| 26 | DARUS | |
| 27 | WINARNO | |
| 28 | MUHUJI | |
| 29 | SUYUTNO | |
| 30 | MUNDARIYAH | |
| 31 | SUNARTUN | |
| 32 | SITI ZUMAROTUN | |
| 33 | PARYONO | |
| 34 | NGADIYONO | |
| 35 | LUKI ARDIYANTO | |
| 36 | ANWARI | |
| 37 | JUWAHIR AL LATIF | |
| 38 | KABUL |