| No. | Nama | Paraf |
|---|---|---|
| 1 | LUMRAH AL TOWIYAH | |
| 2 | MUNTAMIMAH | |
| 3 | MUH FAHRUDIN | |
| 4 | NURUL HAKIMAH | |
| 5 | ALI MURSIT | |
| 6 | AHMAD ZAERONI | |
| 7 | KASMINI | |
| 8 | DARUS | |
| 9 | MUHAMAD BURHANUDIN | |
| 10 | SUKAMTO | |
| 11 | YASIN | |
| 12 | TURKAMUN | |
| 13 | MISDI HARYANTO | |
| 14 | MUAL FIATUN | |
| 15 | SULISTYO | |
| 16 | MUYATNO | |
| 17 | NASHRON | |
| 18 | SUMADI | |
| 19 | BUDI PRAMONO | |
| 20 | PARJU | |
| 21 | RIDWAN | |
| 22 | SAMSUDIN | |
| 23 | SAMIDI | |
| 24 | DAWAM | |
| 25 | SISYONO | |
| 26 | MUSLIH | |
| 27 | WAHIB BADAWI | |
| 28 | SIPYANI | |
| 29 | AHMAD ZAENI | |
| 30 | NASICHUN | |
| 31 | SLAMET ZUWANIS | |
| 32 | IMAM AFIF | |
| 33 | IRHAM | |
| 34 | FATCHUROHMAN | |
| 35 | MUCHAMAD KURMEN | |
| 36 | YUWANIS | |
| 37 | KHOIRUL ANAM |