| No. | Nama | Paraf |
|---|---|---|
| 1 | DWI HARYANTI | |
| 2 | MUSLIH | |
| 3 | NEGA ROSITASARI | |
| 4 | SARMIRAH | |
| 5 | ALFIAN NUR ROSYID | |
| 6 | SARIJAN | |
| 7 | WAHYU CATUR JULIYANTO | |
| 8 | RATNO KURNIAWAN | |
| 9 | NASIP TRIYANTO | |
| 10 | ARIYADI | |
| 11 | SAMAD | |
| 12 | KARMINI | |
| 13 | SLAMET IRFAN | |
| 14 | SUDARINAH | |
| 15 | KHOZIN | |
| 16 | SARNOTO | |
| 17 | MAKSUM | |
| 18 | MULYONO | |
| 19 | SUWANDI | |
| 20 | ENDANG TRISNAWATI | |
| 21 | SUPRIYADI | |
| 22 | ADI KUSNADI | |
| 23 | SURATMAN | |
| 24 | ZAENAL ARIFIN | |
| 25 | AHMAD MAHYUN | |
| 26 | SUWALJI | |
| 27 | AHMAD FAUZI PURWAKO | |
| 28 | KODARIJAH | |
| 29 | AROF ARI FAUZI | |
| 30 | ABDUL AZIS |