| No. | Nama | Paraf |
|---|---|---|
| 1 | IMAM MEI MIRAHANA | |
| 2 | MUHADI | |
| 3 | DJARKONI | |
| 4 | AFIF BUDIONO | |
| 5 | PONIRAH | |
| 6 | MUHAWARI | |
| 7 | MUJI SLAMET | |
| 8 | SUNARSIS | |
| 9 | IMAM MUNADI | |
| 10 | SOLIKIN | |
| 11 | AHLURRIDWAN SHOLIKHIN | |
| 12 | SURATNO WAHYU FINDARTO | |
| 13 | FATIMAH | |
| 14 | MUHDAHLAN | |
| 15 | MUJIYONO | |
| 16 | RUSMONO | |
| 17 | DAURI | |
| 18 | MUCHOLIL | |
| 19 | SUFIYATI | |
| 20 | TOTO | |
| 21 | YUNIYANTO | |
| 22 | JEMU | |
| 23 | MUHAMAD ARIFIN | |
| 24 | SARYONO | |
| 25 | IRVAN MASRURI | |
| 26 | LARAH | |
| 27 | MUHTAR | |
| 28 | ARIYADI | |
| 29 | MATUPARJO | |
| 30 | ISKANDAR | |
| 31 | SUGIYONO | |
| 32 | WAHADI | |
| 33 | SURATNO | |
| 34 | SONHAJI ANSHORI | |
| 35 | MUFLIKHUN ZAKARIYA | |
| 36 | M. ABDUL MALIK | |
| 37 | IKHUL SOFAN | |
| 38 | SOLAEKAH | |
| 39 | ADI WIBOWO | |
| 40 | ROHMAN AMIN | |
| 41 | HERNADI | |
| 42 | PARSODIK | |
| 43 | WALIYADI | |
| 44 | HADIYANTO | |
| 45 | IWAN SARWANTO | |
| 46 | EKO SUPRIYANTO | |
| 47 | HARTANTO | |
| 48 | PRIYO DWI ARDIYANTO | |
| 49 | SUPARYATI | |
| 50 | PARWANTI |