| No. | Nama | Paraf |
|---|---|---|
| 1 | MUHAMMAD SYAEFUL RIZKI | |
| 2 | SAPTAJI | |
| 3 | SULIMAH | |
| 4 | JERY ADITYA MULUK | |
| 5 | SUWARNO | |
| 6 | SARNI | |
| 7 | SLAMET EKO NUGROHO | |
| 8 | IMAM AGUNG KURNIAWAN | |
| 9 | SARINI | |
| 10 | SARNO | |
| 11 | BAITO | |
| 12 | SUGITO | |
| 13 | WARSINI | |
| 14 | SAJI | |
| 15 | DARSINTO | |
| 16 | SISWOTO | |
| 17 | SALAMI | |
| 18 | MIYOTO | |
| 19 | SUKINAH | |
| 20 | SUHARDI | |
| 21 | SUDARGO | |
| 22 | MUHTARUDIN | |
| 23 | RUSTANTO | |
| 24 | NUR ARIF NUGROHO | |
| 25 | SUMENI | |
| 26 | MARSIDI | |
| 27 | WASIMIN | |
| 28 | MUTORIK | |
| 29 | SUROSO | |
| 30 | SUBADI | |
| 31 | MARMINI | |
| 32 | SADAR AL. M. HUSNI MUBAROK |