| No. | Nama | Paraf |
|---|---|---|
| 1 | AHMAD MUSTOFA | |
| 2 | MOHAMAD ZAENURI | |
| 3 | JUMILAH | |
| 4 | DEDI SUSANTO | |
| 5 | DEWI RIKATIYANA | |
| 6 | MUSLIHUN | |
| 7 | MUH LASIN | |
| 8 | AHMAD BANJARI | |
| 9 | ZAENAL MAQOSIM | |
| 10 | INTOYO | |
| 11 | MUGIYANTO | |
| 12 | NAWAWI | |
| 13 | AHMAT MUHAJIR | |
| 14 | DALMADI | |
| 15 | ABU TOYIB | |
| 16 | ARDANI | |
| 17 | MUHSIN | |
| 18 | ROJIUN | |
| 19 | KAMBALI | |
| 20 | KEMPROH | |
| 21 | ROMLI AHMAD | |
| 22 | M. NURTAJUDIN A.Z | |
| 23 | TAFTUL ZANI | |
| 24 | SAKRONI | |
| 25 | PURWANTO |