| No. | Nama | Paraf |
|---|---|---|
| 1 | MUHAMAD ERFIYANTO | |
| 2 | SUWARNO | |
| 3 | KHOFID PRIYADI | |
| 4 | EDI SUMARNA | |
| 5 | NASRUDIN | |
| 6 | KASIH ROHMAD | |
| 7 | ABU SUJAK | |
| 8 | MUH AFFANDI | |
| 9 | WAHYUDI | |
| 10 | LUSWANTO | |
| 11 | TUMI | |
| 12 | NASRIKIN | |
| 13 | MUHTAYIK | |
| 14 | SUTOMAH | |
| 15 | KASIHMAN | |
| 16 | ISWANI | |
| 17 | JARIYAH | |
| 18 | INTONO | |
| 19 | SIHMANUDIN | |
| 20 | RIBUT | |
| 21 | AHMAD ROFIQ | |
| 22 | SITI ROBIAH | |
| 23 | SAIDUN | |
| 24 | SYAIFUL EFFENDI | |
| 25 | MUH CIPTO | |
| 26 | MUH ZAHRODIN | |
| 27 | AMIR | |
| 28 | TASRIN | |
| 29 | EKO LESTYANTO | |
| 30 | SARIF HIDAYAT | |
| 31 | NURSOFAN | |
| 32 | RIKI ZULCHAM ANHARI | |
| 33 | SARIMAH | |
| 34 | EKO DENI SETIAWAN | |
| 35 | PUJI | |
| 36 | JUWARI | |
| 37 | ALI MUBAIDI | |
| 38 | NUR NASOKHAH | |
| 39 | SYAIFUL TAMAM | |
| 40 | MUHAMAD HENDRA SAPUTRA | |
| 41 | MUCHAMAD ASKURYANTO | |
| 42 | MUHKIDUN |