| No. | Nama | Paraf |
|---|---|---|
| 1 | AHMAD NASEKHAN | |
| 2 | MUALIFAH | |
| 3 | AHMAD TA'AT AR | |
| 4 | MASHUDI | |
| 5 | MARSUDI | |
| 6 | SUCIPTO | |
| 7 | SUSANTO | |
| 8 | JOKO ENDRO | |
| 9 | MUHAMMAD IKSAN KHOLID | |
| 10 | AHMAD YANI | |
| 11 | MUHAMMAD YUSUF | |
| 12 | MUHTAR NASIKHIN | |
| 13 | MAT SARWANI | |
| 14 | M. ABDUL MUKHID | |
| 15 | AHMAD SHOLIKHUN | |
| 16 | MUHAMAD RUDI SUSANTO | |
| 17 | HASAN MAHFUD | |
| 18 | HARIYANTO | |
| 19 | MOH RONDI | |
| 20 | ASBANI | |
| 21 | MUH KHOLIL | |
| 22 | MUJAHID | |
| 23 | MAT KIRWAN | |
| 24 | ASMAWI | |
| 25 | SUPARTI | |
| 26 | MAT MUNTOLIB | |
| 27 | PURWANTO | |
| 28 | AFANDI | |
| 29 | SUWANDI | |
| 30 | YATMUDI | |
| 31 | ASMUDI | |
| 32 | MUH RODIN | |
| 33 | RAMBAT | |
| 34 | SADZALI | |
| 35 | MUH MAHMUDIN | |
| 36 | MAT SABAR | |
| 37 | MAT SAWALI | |
| 38 | ISKANDAR | |
| 39 | ASNAWI | |
| 40 | MUNAWIR | |
| 41 | SUNAWIYAH | |
| 42 | BARDIYONO | |
| 43 | AHMAD CHAMDANI | |
| 44 | SAUBARI | |
| 45 | SITI DURIYATI | |
| 46 | SUMIYATI | |
| 47 | ZUNIYANTO | |
| 48 | MUHAMMAD FAUZI | |
| 49 | FAHRUDIN | |
| 50 | SUWARNO | |
| 51 | NUR AFIF | |
| 52 | SUBAKIR | |
| 53 | AHMAD ROKHANI | |
| 54 | AHMAD MUNIRON | |
| 55 | BOTOK JARIYAH | |
| 56 | ABDUL MAJID | |
| 57 | ABDUL BAQI |