| NO | NAMA | TEMPAT TANGGAL LAHIR | ALAMAT |
| 1 | SUHARTO | JOMBANG, 02/06/1965 | BALONGBESUK RT.02 RW.01 |
| 2 | PURNOMO | JOMBANG, 11/11/1962 | BALONGBESUK RT.02 RW.01 |
| 3 | TEGUH | JOMBANG, 10/08/1983 | BALONGBESUK RT.02 RW.01 |
| 4 | WARIS | JOMBANG, 22/08/1977 | BALONGBESUK RT.02 RW.01 |
| 5 | SEGER | JOMBANG, 26/10/1978 | BALONGBESUK RT.03 RW.02 |
| 6 | MUJI SANTOSO | JOMBANG, 12/10/1992 | BALONGBESUK RT.04 RW.01 |
| 7 | SAIFUL HASAN | PROBOLINGGO, 26/05/1969 | BALONGBESUK RT.01 RW.02 |
| 8 | SUPARMIN | JOMBANG, 01/01/1959 | BALONGBESUK RT.01 RW.02 |
| 9 | PURNOMO | JOMBANG, 11/11/1962 | BALONGBESUK RT.02 RW.01 |
| 10 | MUJI SLAMET | JOMBANG, 04/05/1976 | BALONGBESUK RT.02 RW.02 |
| 11 | YONATAN | JOMBANG, 13/05/1971 | BALONGBESUK RT.04 RW.02 |
| 12 | ZAINUR ROHMAN | JOMBANG, 16/11/1974 | BALONGBESUK RT.01 RW.03 |
| 13 | ABDUL MAJID | JOMBANG, 05/03/1982 | BALONGBESUK RT.02 RW.03 |
| 14 | ALIF MUSTOFA | LAMPUNG TENGAH, 12/05/1986 | BALONGBESUK RT.03/RW.03 |
| 15 | RATNO SETIAWAN | JOMBANG, 04/11/1979 | BALONGBESUK RT.03 RW.03 |
| 16 | SAMINGAN | NGANJUK, 22/07/1976 | BALONGBESUK RT.03 RW.03 |
| 17 | SUGIONO | JOMBANG, 01/08/1978 | BALONGBESUK RT.04 RW.03 |
| 18 | M. NURIONO | LAMONGAN, 16/11/1975 | BALONGBESUK RT.04 RW.03 |
| 19 | SUGIANTO | JOMBANG, 13/12/1968 | BALONGBESUK RT.04 RW.03 |
| 20 | BUDIONO | JOMBANG, 19/04/1971 | BALONGBESUK RT.04 RW.03 |
| 21 | GIALEK | JOMBANG, 06/06/1972 | BALONGBESUK RT.01 RW.04 |
| 22 | DARTO | SURABAYA, 30/01/1975 | BALONGBESUK RT.02 RW.04 |
| 23 | SUGIATNO | JOMBANG, 12/05/1976 | BALONGBESUK RT.04 RW.04 |
| 24 | SUJARWO | SRAGEN, 10/08/1972 | BALONGBESUK RT.01 RW.05 |
| 25 | KARIONO | JOMBANG, 12/02/1965 | BALONGBESUK RT.02 RW.05 |
| 26 | SUWOTO | JOMBANG, 07/10/1965 | BALONGBESUK RT.03 RW.05 |
| 27 | ANWAR WIBISONO | JOMBANG, 11/08/1972 | MOJOSONGO RT.01 RW.06 |
| 28 | SUYONO | JOMBANG, 21/06/1981 | MOJOSONGO RT.03 RW.06 |
| 29 | MULYADI | JOMBANG, 15/06/1967 | MOJOSONGO RT.01 RW.07 |
| 30 | SUDIONO | JOMBANG, 20/10/1967 | MOJOSONGO RT.02 Rw/07 |
| 31 | ZAINUL ANWAR | JOMBANG, 05/06/1979 | MOJOSONGO RT.02 RW.07 |
| 32 | ZAINUDIN | SIDOARJO, 01/01/1959 | MOJOSONGO RT.01 RW.06 |
| 33 | MAS’UD HANDI W | JOMBANG, 20/09/1979 | MOJOSONGO RT.02 RW.08 |
| 34 | SUWANDI | GRESIK, 18/07/1964 | MOJOSONGO RT.02 RW.08 |
| 35 | MOCH. LUTFI A. | JOMBANG, 07/02/1994 | MOJOSONGO RT.01 RW.06 |
| 36 | M ALI MASRUM | JOMBANG, 15/08/1975 | MOJOSONGO RT.01 RW.07 |
| 37 | SUPARMAN | JOMBANG, 02/02/1972 | MOJOSONGO RT.03 RW.07 |
| 38 | HANDOYO | JOMBANG, 12/11/1966 | MOJOSONGO RT.01 RW.06 |
| 39 | M AROFIQ | JOMBANG, 08/04/1972 | MOJOSONGO RT.02 RW.06 |
