| No. | Nama | Paraf |
|---|---|---|
| 1 | PUJIK LASWATI | |
| 2 | SRI MURYATI | |
| 3 | LUKMAN | |
| 4 | ARIF SUSANTI | |
| 5 | PUJIYANTO | |
| 6 | SUKRON MAKMUN | |
| 7 | MUHAMAD IRKHAM | |
| 8 | NASTANGIN | |
| 9 | AKHMAD TAFRIKHIN | |
| 10 | RIF'AN HIDAYAT | |
| 11 | FEBRIYANTO PRASETYO | |
| 12 | DAHRONI | |
| 13 | ROSID | |
| 14 | ISTACHORI | |
| 15 | ROZIKIN | |
| 16 | MUHAMMAD MAKIN AL AMIN | |
| 17 | SAMZUDI | |
| 18 | ASIH | |
| 19 | SUPANGAT | |
| 20 | TARYUNI | |
| 21 | TAHLISUDIN | |
| 22 | YULIANTO | |
| 23 | JUNAEDI | |
| 24 | DAHNO | |
| 25 | YATIMAH | |
| 26 | MUTAQIN | |
| 27 | ASLAMIYAH | |
| 28 | SHOCHIB | |
| 29 | SAEKUN | |
| 30 | PARSIYAH | |
| 31 | SUYOTO | |
| 32 | SALIM | |
| 33 | NGAIPIN | |
| 34 | MUHROJI | |
| 35 | SODIK | |
| 36 | MUDLOKHI | |
| 37 | MUNDAKIR | |
| 38 | BEJO | |
| 39 | MUSTOFA | |
| 40 | MUHYIDIN | |
| 41 | PATONAH | |
| 42 | LUTFI PRASETIYO | |
| 43 | ANDRIYANTO | |
| 44 | KHAERUN | |
| 45 | WAHLAN | |
| 46 | HARAMAN | |
| 47 | MUHLISUN | |
| 48 | ZAENAL ARIFIN | |
| 49 | PURWANTO | |
| 50 | IRFAI | |
| 51 | RIWAHYANI | |
| 52 | WIWIT BUDI SETIAWAN | |
| 53 | AKHMAD MUTROFIN | |
| 54 | NUR SAMSIAH | |
| 55 | MUSAFIKHIN | |
| 56 | NURIS FATMAWATI |