| No. | Nama | Paraf |
|---|---|---|
| 1 | SUPRIYANTO | |
| 2 | ADI IRAWAN | |
| 3 | FENDI WIJONARKO | |
| 4 | TUKIMIN | |
| 5 | SUBARDAN | |
| 6 | SURYADI | |
| 7 | SOFWAN ARIF | |
| 8 | ZAENAL MA'ARIF | |
| 9 | AHMALI | |
| 10 | MUH ZAENI | |
| 11 | SRI AFIYAH | |
| 12 | MUHYIDIN | |
| 13 | MAKHOLIK | |
| 14 | MUNTARI | |
| 15 | FAIZUN | |
| 16 | SURIPTO | |
| 17 | KUMINAH | |
| 18 | ROHADI | |
| 19 | SARIYADI | |
| 20 | IHSANUDIN | |
| 21 | HERIYANTO | |
| 22 | MUHAMAD KHABIB SHOLEH | |
| 23 | DANI HERMANTO | |
| 24 | WIWIN MUHAMMAD AZIZ |