| No. | Nama | Paraf |
|---|---|---|
| 1 | EKO SETIYAWAN | |
| 2 | ASROLI | |
| 3 | KHUNDORI | |
| 4 | AHMAT RIFAI | |
| 5 | ABDUR ROHIM | |
| 6 | MUYADI | |
| 7 | NUR AENI | |
| 8 | AGUS WAHFIYUDIN | |
| 9 | MISMI | |
| 10 | SULASTRI | |
| 11 | AFIF FAHROZI | |
| 12 | WAHID | |
| 13 | ISA ANGSORI | |
| 14 | SITI KHOMSATUN | |
| 15 | ISROFI | |
| 16 | KHABIB MUSRIFIN | |
| 17 | TAUFIK HIDAYAT | |
| 18 | MARFIAH | |
| 19 | WAHONO | |
| 20 | DIDIK SUPRIYANTO | |
| 21 | ARIF ANWAR | |
| 22 | IMAM SOBIRIN | |
| 23 | BUDI WARDOYO | |
| 24 | MUH HARUN | |
| 25 | AMIN ROHMAD | |
| 26 | MUSTOFA | |
| 27 | JAYUS | |
| 28 | IDRIS | |
| 29 | JUWALDI | |
| 30 | IMBUH AMIN | |
| 31 | SUMIYATNO | |
| 32 | SAHURI | |
| 33 | MUHLASIN | |
| 34 | BUNYADI | |
| 35 | MUNDHOHIR | |
| 36 | SURATI | |
| 37 | ASMUDI | |
| 38 | MUSTAKIM | |
| 39 | YUNIONO | |
| 40 | MARLAN | |
| 41 | ASNGADI | |
| 42 | RAMELI | |
| 43 | ROCHMADI | |
| 44 | JARWONO | |
| 45 | RAMIAH | |
| 46 | SITI NAFSIYAH | |
| 47 | AHMAD FAOZAN | |
| 48 | SOLIHIN | |
| 49 | ADAM | |
| 50 | NGATNO | |
| 51 | AL YASAK | |
| 52 | MURSALIM | |
| 53 | KHUSAINI | |
| 54 | HANAFI | |
| 55 | ROFIQ ANWAR | |
| 56 | JUNAEDI | |
| 57 | HARYANAH | |
| 58 | SAIFUL | |
| 59 | MUHAJIRUN AHMAD NUR | |
| 60 | JAMI'UDIN | |
| 61 | PENI ASIH |