| No. | Nama | Paraf |
|---|---|---|
| 1 | SUPARTI | |
| 2 | SETIYOKO | |
| 3 | SITI MASROFAH | |
| 4 | SOPINGI | |
| 5 | MUKHAMAD MUDRIK | |
| 6 | BIBIT MAKSUM | |
| 7 | ARIF YANDI WIDYAMOKO | |
| 8 | PUJI NURYANI | |
| 9 | RINA SETYAWATI | |
| 10 | MUH TAROM | |
| 11 | ZAENAL ABIDIN | |
| 12 | WARSONO | |
| 13 | TASRIKIN | |
| 14 | ACHMAD BADRUN | |
| 15 | MASJFUAD | |
| 16 | MUKHAMAD MANSUR | |
| 17 | MASSADAKAH | |
| 18 | WALUYO | |
| 19 | WAHYUDI | |
| 20 | WARSONO | |
| 21 | KHOIRUL UMAM | |
| 22 | ISLAKHUDIN M. ARIF TIRTANA | |
| 23 | NUR ARIFIN | |
| 24 | BUDI TRI LAKSONO | |
| 25 | SITI NURCHAJATI |