| No. | Nama | Paraf |
|---|---|---|
| 1 | ZAENAL MUSTOFA | |
| 2 | PENDI SUPYANUDIN | |
| 3 | ADI PURNAMA | |
| 4 | USWATUN CHASANAH | |
| 5 | BAYU KUSWANTO | |
| 6 | MAS'UL LATIF | |
| 7 | SULAIMAN | |
| 8 | ACHMAT SAM'UN | |
| 9 | MATHORI | |
| 10 | SITI ISTONAH | |
| 11 | ACHMAD RIFAI | |
| 12 | AKHMAT SOLIKUN | |
| 13 | AKHMAT SUNHAJI | |
| 14 | MUHAMMAD LAHMUDIN MUBAROK | |
| 15 | SLAMET RIYANTO | |
| 16 | ASEP SUHENDRO | |
| 17 | MUHTAR SYAFAAT | |
| 18 | ROHMADI | |
| 19 | MUHAMAT MAKHRUS | |
| 20 | ROZIKIN | |
| 21 | ACHMAT ISNAENI | |
| 22 | SAMSURI | |
| 23 | KUSNIN | |
| 24 | IBNU KHAJAR | |
| 25 | SUBADI UTOMO | |
| 26 | SURATUN | |
| 27 | MUH ICHSAN | |
| 28 | MU'MININ | |
| 29 | RANIYEM | |
| 30 | ASMUI | |
| 31 | MUHDI | |
| 32 | KHALIMI | |
| 33 | MUH KROMI | |
| 34 | MUKHAYATUN | |
| 35 | EKO BUDIRETNO | |
| 36 | MUH SUDI | |
| 37 | ROKHIMUN | |
| 38 | AHWAN | |
| 39 | SRI SURYATMI | |
| 40 | AMIN MUSTOFA | |
| 41 | SUDAR | |
| 42 | MUH SAMSUDI | |
| 43 | PRAMONO | |
| 44 | PALAL | |
| 45 | ABDUL KHAMID NARYO | |
| 46 | BEJO | |
| 47 | MUH KAMIL | |
| 48 | SOLEH HADIYANTO | |
| 49 | WINARTO | |
| 50 | EDI SUPRIYANTO | |
| 51 | KABUL KUAT SUMYANI | |
| 52 | BUDI INDRAYANTO | |
| 53 | FATKHURI FAIZAL | |
| 54 | MUHROJIN | |
| 55 | SULAIMAN | |
| 56 | NADLIRUN | |
| 57 | AHMAD MARZUKI | |
| 58 | SUYAMTO | |
| 59 | NGABDI NUROFIN | |
| 60 | MARYANTO | |
| 61 | SUKAMDI | |
| 62 | IBNU YAZID | |
| 63 | M.KHOLIL KHANAFI | |
| 64 | NASOCHA | |
| 65 | MUKHAMAD SLAMET MUHAJIR | |
| 66 | KHOERUL HUDA | |
| 67 | AHMAD FAUZI | |
| 68 | AKHMAT AKHSIN | |
| 69 | MUHNAWIR | |
| 70 | AGUS WINARSO | |
| 71 | AHMAD MUTAKIMIN | |
| 72 | SARIPAH | |
| 73 | MOH AHSAN | |
| 74 | MUSLIM | |
| 75 | BUDI UTOMO | |
| 76 | BASIRUN | |
| 77 | ADIP MUKHTAR | |
| 78 | ZAINURRAHIM | |
| 79 | PARDI | |
| 80 | MIDAH | |
| 81 | AHMAD NURUL HUDA |