| No. | Nama | Paraf |
|---|---|---|
| 1 | MUNGINAH | |
| 2 | HARIYANTO | |
| 3 | NGAFIF MAHRUS | |
| 4 | FIRMAN ISA | |
| 5 | FATKHUL MU'IN | |
| 6 | ABDULLAH ALFAQIH | |
| 7 | ROIPAH | |
| 8 | KHAIRUN NASHIRIN | |
| 9 | SAFRODIN | |
| 10 | M. AZWAR ANAS | |
| 11 | MAFRUHIN | |
| 12 | SAMSIYAH | |
| 13 | ASHARI | |
| 14 | NUR HIDAYAH | |
| 15 | MUH SOLEH | |
| 16 | KUSNUN | |
| 17 | MUNIRON | |
| 18 | MUKHAZIN | |
| 19 | MUHAMAD BAROWI | |
| 20 | JUWARIYAH | |
| 21 | MUHAMAD ZAINI IKHSAN | |
| 22 | FAUZAN | |
| 23 | MAHFUD | |
| 24 | ABDUL BAQI | |
| 25 | MUHSININ | |
| 26 | ISROFI | |
| 27 | ISROI | |
| 28 | MUHAMAD KHALIMI | |
| 29 | KARSONO |