| No. | Nama | Paraf |
|---|---|---|
| 1 | MEI KURNIAWAN | |
| 2 | SITI SANGADAH | |
| 3 | PANJI PRAKOSO | |
| 4 | WARISO SUGIYARTO | |
| 5 | MAT ROBANI | |
| 6 | SAFIIL ANAM | |
| 7 | SONNY SUTOPO | |
| 8 | AMINATUN | |
| 9 | AGUS DARIYANTO | |
| 10 | SUPRI | |
| 11 | TOIFIN | |
| 12 | RIZAL WAHYUPRASGIANTOKO | |
| 13 | NOKLILAH | |
| 14 | MUNTOIFIN | |
| 15 | SETYOWATI | |
| 16 | ASLACHIYAH | |
| 17 | MUTAHIR | |
| 18 | MUCHAFANI | |
| 19 | DAIMAH | |
| 20 | SUPRIYATI | |
| 21 | MUSLIKHAH | |
| 22 | ZAENAL MAARIF | |
| 23 | DOLABAS | |
| 24 | MAHWIYAH | |
| 25 | NURKOLIS | |
| 26 | SAEUN | |
| 27 | CHOLIFAH | |
| 28 | IMAM PRACOYO | |
| 29 | JARKASI | |
| 30 | FAHRODIN | |
| 31 | SUMADI | |
| 32 | RIBUT SUTRISNO | |
| 33 | SUWANDI | |
| 34 | TEGUH PRASETYO | |
| 35 | MAHMUD AL FATAH | |
| 36 | AGUS MUHAMAD SOBIRIN | |
| 37 | MAT ROFII | |
| 38 | MUHAMAD TALMIZUN | |
| 39 | JUM NGADI | |
| 40 | HADI SUYONO | |
| 41 | KRISTINAH | |
| 42 | MUHADI | |
| 43 | KHAERONI | |
| 44 | JUMONO | |
| 45 | NURUL SODIKIN | |
| 46 | NOK ROHMAH | |
| 47 | SUMARNO | |
| 48 | HENDRO PRACOYO | |
| 49 | IMAM PRIHANTO | |
| 50 | GALIH WIJAKSONO | |
| 51 | TIN ISMAIYAH |