| No. | Nama | Paraf |
|---|---|---|
| 1 | DANI APRIANTO | |
| 2 | JUWARTI | |
| 3 | NGIZUDIN | |
| 4 | MARTONO | |
| 5 | MARPUNAH | |
| 6 | MUTMAINAH | |
| 7 | MUHAMMAD SAFI'I | |
| 8 | SAMUDI | |
| 9 | DJUWENI | |
| 10 | LASMIN | |
| 11 | MUKIDI | |
| 12 | MUKHAMIN | |
| 13 | SULASI | |
| 14 | MUH SUKAERI | |
| 15 | NURWADI | |
| 16 | RIFA ISTIYATI | |
| 17 | NASRODIN | |
| 18 | SUMARDI | |
| 19 | MUHAMAD RIDWAN | |
| 20 | TASRUN | |
| 21 | ROKHIMIN | |
| 22 | FANI ALFIANIKA | |
| 23 | SAPUWANTO | |
| 24 | YANTO | |
| 25 | JUMADI | |
| 26 | MUSLIMIN SETIAWAN | |
| 27 | MARWANTO | |
| 28 | FERI PRISTANTO | |
| 29 | MUDIYATNO | |
| 30 | ISROI |