| No. | Nama | Paraf |
|---|---|---|
| 1 | HJ. KARISAH ABDULLLAH SAYUTI | |
| 2 | AKHMAD FAOZAN ADHIMA | |
| 3 | MULYANTO | |
| 4 | SOLEKAH ARIYANI | |
| 5 | HARYONO | |
| 6 | SRIYATI | |
| 7 | SLAMET SUGIJARTO | |
| 8 | MUNAWARI | |
| 9 | YOYON BUDI PURNOMO | |
| 10 | ICHWAN ASRORI | |
| 11 | HASIM ASNGARI | |
| 12 | HARYADI | |
| 13 | SITI ZAENAB | |
| 14 | MUJIZAH | |
| 15 | PARTINI | |
| 16 | SUYOTO | |
| 17 | MUH ROKHANI | |
| 18 | SUDIMAN | |
| 19 | UMIYATI | |
| 20 | TRI MURTI | |
| 21 | SUPRAPTO | |
| 22 | HERU KUSWANTO SPD. | |
| 23 | SUMARJAN | |
| 24 | SAMINGAN | |
| 25 | MARGONO | |
| 26 | MUH BURHAN | |
| 27 | AMIN BUDIARTO | |
| 28 | ARIF ANDRIYANTO | |
| 29 | AMINUDIN BASHORI | |
| 30 | IRFAN KUSNADI | |
| 31 | EKO ADI SYAH PUTRA SIGIT | |
| 32 | SARYANTO |