| No. | Nama | Paraf |
|---|---|---|
| 1 | LASMI | |
| 2 | HJ MARIYATUN | |
| 3 | JUWAHIR | |
| 4 | MUTAMAN | |
| 5 | ANTI | |
| 6 | IRAWAN ABDUL CHOLID | |
| 7 | ERI WAHYUNINGSIH | |
| 8 | DIYAH KOZIN | |
| 9 | KABUL NASTAKIM | |
| 10 | MUCHAMAD BAKHRODIN | |
| 11 | NUR AHMAD | |
| 12 | ABDULLAH HAJI ABU BAKAR | |
| 13 | KOKO BAKHTIYARTO | |
| 14 | MUFARIDHOTUL ALIYAH | |
| 15 | SUDARSIH | |
| 16 | KUSTARINAH | |
| 17 | ASRORI | |
| 18 | PONIKIR | |
| 19 | SUCIPTO | |
| 20 | MUNJAENAT | |
| 21 | DANURI | |
| 22 | FATKHUROZI | |
| 23 | KODIR | |
| 24 | SUPARMAN | |
| 25 | ROMADHON | |
| 26 | IRWANI | |
| 27 | SARIMIN | |
| 28 | NUR SAHUDI | |
| 29 | NGAINI | |
| 30 | MUH ANWAR | |
| 31 | KOZIN | |
| 32 | NUR KHOLIM | |
| 33 | SAHIT NUROKHIM | |
| 34 | LILIK KHURYATININGSIH | |
| 35 | EDY SANTOSA | |
| 36 | JARWO |