| No. | Nama | Paraf |
|---|---|---|
| 1 | ZAENAL ABIDIN | |
| 2 | ANAF SAPNA | |
| 3 | KHOERODIN | |
| 4 | SARMIDAH | |
| 5 | IKHWAN SOLIKHUN | |
| 6 | FATKHUR ROHMAT | |
| 7 | MUHAMAD EDI WAHYANI | |
| 8 | SUYAMDI | |
| 9 | AFTAKHUN QORIB | |
| 10 | ZAENUL HAKIM | |
| 11 | ISRO'I | |
| 12 | KHUSNIYATI | |
| 13 | MARWADI | |
| 14 | ISKANODIN | |
| 15 | HARTO | |
| 16 | SUWARNI | |
| 17 | WALNEN | |
| 18 | SUJUD | |
| 19 | NUWARI | |
| 20 | ABDIRONI | |
| 21 | NESPU | |
| 22 | SUWANTO | |
| 23 | WALSIDI | |
| 24 | MUSANGADI | |
| 25 | MUNAWIR | |
| 26 | SURIPNO | |
| 27 | ZUWONO | |
| 28 | BINARDI | |
| 29 | SUNARJI | |
| 30 | MURHADI | |
| 31 | WAJIRAN | |
| 32 | SAFRONDI | |
| 33 | JUMAHIR | |
| 34 | SUPRIH | |
| 35 | TIMBANG RAHAYU | |
| 36 | SUKER | |
| 37 | TUWALNO | |
| 38 | TUKIJAN | |
| 39 | SISWADI | |
| 40 | ROSIDI | |
| 41 | MUHAROM | |
| 42 | MUNJAINI | |
| 43 | SARWANDI | |
| 44 | MATSUNHADI YATIN | |
| 45 | SAMRONDI | |
| 46 | SAROKIP | |
| 47 | PAINEM | |
| 48 | SUKARMAN | |
| 49 | ASMUI | |
| 50 | DAHROJI | |
| 51 | RAFA ALBAKHORI | |
| 52 | FAJAR DWI BAHARI | |
| 53 | ASRUL SYAFII | |
| 54 | KUNTING | |
| 55 | ALFIYANTO | |
| 56 | MAT ROSIKHIN | |
| 57 | SIKHRUM MUHTAR | |
| 58 | MUNADI | |
| 59 | FAUZI | |
| 60 | MAT SAFRODIN | |
| 61 | ROUF ROZAK | |
| 62 | ROMADLON | |
| 63 | SUMIDI | |
| 64 | SAMIN | |
| 65 | MULYONO | |
| 66 | MUSTOFA | |
| 67 | ARBA'IN | |
| 68 | RIYANTO | |
| 69 | KHOIZUN |