| No. | Nama | Paraf |
|---|---|---|
| 1 | SUPRIYATI | |
| 2 | JOKO SUTRISNO | |
| 3 | MUHAMMAD GHUFRON WAKHIDI | |
| 4 | AHMAD MUTAHAR | |
| 5 | MUHAMAD NUR NGAINI | |
| 6 | SYAHIRAN | |
| 7 | SUKRON HAMIDIN | |
| 8 | KHOZIN | |
| 9 | MUZALI | |
| 10 | KHOIRIYAH | |
| 11 | MUHTADI | |
| 12 | MUSTAMIR | |
| 13 | ASMAWI | |
| 14 | MUSALI | |
| 15 | JUWAENI | |
| 16 | WASKITO | |
| 17 | HERI SAPUTRO | |
| 18 | PURWANTO | |
| 19 | MASYHUN CHOERON | |
| 20 | ROUDLOH | |
| 21 | AKHMAT TAAT | |
| 22 | MUHAMMAD MUNAWAR FARID | |
| 23 | SLAMET NURUL HUDA |