| No. | Nama | Paraf |
|---|---|---|
| 1 | MUSTOFA | |
| 2 | WALIDI | |
| 3 | SAEFUL ANAM | |
| 4 | ARIFATUN ULMIYAH | |
| 5 | BERO | |
| 6 | SENIDAH | |
| 7 | SAMSUL HUDA | |
| 8 | NGADENAN | |
| 9 | BUTUK | |
| 10 | TUKIYAT | |
| 11 | SUMARNO | |
| 12 | SUWARIDI | |
| 13 | WAKIMIN | |
| 14 | AS' AD | |
| 15 | BEJO SUYATMAN | |
| 16 | NGAHIDAH | |
| 17 | JUWONO | |
| 18 | MUHLISIN | |
| 19 | IMBUH | |
| 20 | SARJU | |
| 21 | RISYANTO | |
| 22 | ALI MUCHIDIN | |
| 23 | WAHNO | |
| 24 | TOTOK PURWANTO | |
| 25 | BUDIYANTO | |
| 26 | MUJIYANTO | |
| 27 | RUWET |