| No. | Nama | Paraf |
|---|---|---|
| 1 | SULAMI | |
| 2 | KHAKIM | |
| 3 | MUNTO SIBAH | |
| 4 | RUMINAH | |
| 5 | WAHUDI | |
| 6 | M. RIFA'I LATIF | |
| 7 | SARODIN | |
| 8 | AHMAD FAUZI AMANI | |
| 9 | SUDARI | |
| 10 | RUKAYAH | |
| 11 | PARYOTO | |
| 12 | CAHYATUNIMA | |
| 13 | MUHARIYONO | |
| 14 | MARIYANTO | |
| 15 | MURYANTO | |
| 16 | SARMINAH | |
| 17 | NASRODIN | |
| 18 | ISTIKOMAH | |
| 19 | PALAL | |
| 20 | MUNAWAROH | |
| 21 | ASRORI | |
| 22 | SALIM ARROZIQ | |
| 23 | MUSTAQIM | |
| 24 | SRI WAHYUNI | |
| 25 | GENDUK SOLIKHAH | |
| 26 | DWI SETIYAWAN | |
| 27 | ARIS GUNAWAN | |
| 28 | MASKUR MUJIB | |
| 29 | VANIK MASRI'AH | |
| 30 | MA'RUF AMRULLAH | |
| 31 | FATKHI |