| No. | Nama | Paraf |
|---|---|---|
| 1 | MUHAMMAD HASAN RIYANTO | |
| 2 | DODY SUSANTO | |
| 3 | SRI SUSIANI | |
| 4 | MUHAMMAD MALTHUF KHABIBIE | |
| 5 | JUMINAH | |
| 6 | AIR TITIK WARDHANI | |
| 7 | AZIMATUL MAKHSANAH | |
| 8 | AHMAD BAIDLOWI | |
| 9 | ACHSAN ABDUN NASR | |
| 10 | AMIR | |
| 11 | SRI WENING | |
| 12 | ADITIYA AGUNG BRAMANTO | |
| 13 | MUKHAMMAD NUR HANDOYO PUTRO | |
| 14 | FERRY AGUS STIYONO | |
| 15 | H. MUHAMMAD MANSHUR | |
| 16 | MUHAMMAD SAHUDI | |
| 17 | MAHMUD ASNAWI | |
| 18 | HJ.DZAKIYAH | |
| 19 | SUGENG PRIYONO | |
| 20 | DJAYIDAH | |
| 21 | ISMIYATI | |
| 22 | WARTADI | |
| 23 | ACHMAD TAMAMUN | |
| 24 | SUADAH | |
| 25 | AMINATUN | |
| 26 | SIAMAH | |
| 27 | TASRONIYAH | |
| 28 | RIYADI | |
| 29 | NUR MAUSUP | |
| 30 | FIRDAUS ABDI | |
| 31 | APIP MULYANA | |
| 32 | LUKMAN | |
| 33 | JUWAHIR | |
| 34 | SOEGENG MAS'OED | |
| 35 | SUTRISNO | |
| 36 | SOLEH SUGIARTO | |
| 37 | NANIK SUMIYARSI | |
| 38 | ERNA | |
| 39 | ASEP SUPRIYADI | |
| 40 | IYOF ZULHAINIF | |
| 41 | MOHAMMAD ARI FAISHOL | |
| 42 | ARIF SUSANTO | |
| 43 | EKO BUDIANTO | |
| 44 | A LAKSONO WALUYO EDI | |
| 45 | RUSTINI | |
| 46 | ACHMAD WARDIYONO | |
| 47 | NUR SALAM | |
| 48 | SITI CHASANAH | |
| 49 | DENY HARTANTO | |
| 50 | EGO YULIYANTO | |
| 51 | RAHAYU | |
| 52 | MUCHAMAD SHOLACHUDDIN KURNIANTO | |
| 53 | MURTADHO |