| No. | Nama | Paraf |
|---|---|---|
| 1 | MUHYIDIN | |
| 2 | ANJARI | |
| 3 | NUR CAHAYATI | |
| 4 | SIAMIN | |
| 5 | ARIF SUGIARTO | |
| 6 | MOH SOLEH | |
| 7 | KHIBDON | |
| 8 | AGUS YASRO | |
| 9 | ROMSIYAH | |
| 10 | ASTOMI | |
| 11 | MARSAM | |
| 12 | AHMAD ERFAN | |
| 13 | DAMANHURI | |
| 14 | MARIYADI | |
| 15 | MUKOLIL | |
| 16 | ISKAK | |
| 17 | ADAM MUQOROBUN | |
| 18 | IMAM BUKHORI | |
| 19 | AHMAT MUSTOFA | |
| 20 | DUL WACHID | |
| 21 | BAHRODIN | |
| 22 | ROBINGAH | |
| 23 | SUPRIH | |
| 24 | SLAMET AFANDI | |
| 25 | PARTINI | |
| 26 | SUSLANI | |
| 27 | DAMAM HURI | |
| 28 | KAMZUN MUNIR | |
| 29 | TOFIIN | |
| 30 | ENDRO | |
| 31 | ACHMAT ZAHID | |
| 32 | IMAM SAFII | |
| 33 | PARTINI |