| No. | Nama | Paraf |
|---|---|---|
| 1 | NUR ROFIK | |
| 2 | SAMI ADJI | |
| 3 | GUNARDI | |
| 4 | PRASTIYO | |
| 5 | NUR HIDAYAH | |
| 6 | PADMO | |
| 7 | SRI ROKHMAD | |
| 8 | ASRIYAH | |
| 9 | SUDARGO | |
| 10 | SARJUDI | |
| 11 | MUTI'AH | |
| 12 | MUHARUN | |
| 13 | SUDARIYO | |
| 14 | RAMIYANTO | |
| 15 | SARWIYANTO | |
| 16 | TURMUTI | |
| 17 | HERLAMBANG | |
| 18 | NUR KHOLIS | |
| 19 | DWI ISTIYANTO | |
| 20 | JUWARIYAH |