| No. | Nama | Paraf |
|---|---|---|
| 1 | SUDIRMAN | |
| 2 | MUALIM | |
| 3 | SUNDARI | |
| 4 | THOLABUL IKHSAN | |
| 5 | ISTIQOMAH | |
| 6 | ROBANI | |
| 7 | PURWANTO | |
| 8 | SUMARDI | |
| 9 | ARIS MUSYAFIAN | |
| 10 | SUNARYO | |
| 11 | JOKO SULISTIYO | |
| 12 | NEURITA APRIYANTI HELMI | |
| 13 | NUR KHOLIS | |
| 14 | YULIONO | |
| 15 | SUTRISNO | |
| 16 | ISKANDAR | |
| 17 | SUNARDI | |
| 18 | MUHADI | |
| 19 | SUTRIMO | |
| 20 | SUPRIYONO | |
| 21 | NURKHOLIS DAHRUN | |
| 22 | MUHNAERI | |
| 23 | SAEROJI | |
| 24 | SUPARDI | |
| 25 | RUKADI | |
| 26 | ROHMADI | |
| 27 | MUH AMIN | |
| 28 | DAWAM | |
| 29 | AMINUDIN | |
| 30 | SURADIN | |
| 31 | ZAENUDIN | |
| 32 | SUKUR | |
| 33 | SUYITNO | |
| 34 | NUR KHOZIN | |
| 35 | MUFIT | |
| 36 | SHODIKIN | |
| 37 | JOKO SULISTIYO | |
| 38 | BODORIYAH | |
| 39 | FUZI NURKHABIB | |
| 40 | MUH SLAMET JUMAT | |
| 41 | SYAMSUDIN | |
| 42 | ROHMADI | |
| 43 | SUTRISNO | |
| 44 | RIYANTO | |
| 45 | ANSHORI ACHMAD | |
| 46 | MUKIYAR | |
| 47 | MAHMUDIN | |
| 48 | BUDIYONO | |
| 49 | AMINAH |