| No. | Nama | Paraf |
|---|---|---|
| 1 | SURANI | |
| 2 | MUBTHODI'IN | |
| 3 | KASTO SEMITO | |
| 4 | MUSLICHIN | |
| 5 | SITI NURBADRIYAH | |
| 6 | KARNADI | |
| 7 | AHMAT ISTAZIKIN SETIYO WIBOWO | |
| 8 | MUKAHAR | |
| 9 | WALUYO | |
| 10 | CASTRI | |
| 11 | LILIK ZULIANTO | |
| 12 | SUDARYONO | |
| 13 | WAKIDI | |
| 14 | AMAT SAM'ANI | |
| 15 | IWAN SAGA | |
| 16 | WARSONO REMIN | |
| 17 | ZAINAL MUSTOFA | |
| 18 | WIYATMO | |
| 19 | TUMINEM | |
| 20 | NUROCHIM | |
| 21 | WINAHYU ADI | |
| 22 | AGUS RIYANTI | |
| 23 | RIZA KHAMBALI |