| No. | Nama | Paraf |
|---|---|---|
| 1 | ROMSIYAH | |
| 2 | AHMAD SALIM | |
| 3 | ARIFIN | |
| 4 | MARSILAH | |
| 5 | MOCHAMAD FAQIH | |
| 6 | THOHA MAHSUN | |
| 7 | ROMZI | |
| 8 | NASIBUN | |
| 9 | SUYOTO | |
| 10 | PERMONO | |
| 11 | NURYATIN | |
| 12 | M.FAIZUN | |
| 13 | SUTAMIN | |
| 14 | WAHYUDI | |
| 15 | MUNDAKIR | |
| 16 | ISKAK | |
| 17 | ROHADI | |
| 18 | DREMI | |
| 19 | MAHRODIN | |
| 20 | MUGNI LABIB | |
| 21 | PENI | |
| 22 | TAFRIKHAN | |
| 23 | DAHRONI | |
| 24 | JAMHARI | |
| 25 | SAOLAN | |
| 26 | DIMAS ADI IRYANTO | |
| 27 | MUNSIYAH |