| No. | Nama | Paraf |
|---|---|---|
| 1 | SUKARMADI | |
| 2 | MUHAMAD ROSIDI | |
| 3 | AHMAD SAIFUDIN | |
| 4 | SITI ZUBAIDAH | |
| 5 | MUTINAH | |
| 6 | ZUHDI AL AMIN | |
| 7 | M. SAFI'I | |
| 8 | ROKHMAT | |
| 9 | JABIR | |
| 10 | ABDUL MUJIB | |
| 11 | MARSANDI | |
| 12 | DAHONO | |
| 13 | SUNARDI | |
| 14 | M. SUGENG | |
| 15 | NUR KAMID | |
| 16 | TEGUH RIJONO | |
| 17 | SITI NUROHMAH | |
| 18 | KHOLIQ EFENDI | |
| 19 | JUMINTEN | |
| 20 | HENDRI SUSIYANTO | |
| 21 | DAHLAN | |
| 22 | GULUH HENDRAWAN | |
| 23 | TRIANTO | |
| 24 | MARWADI |