NO | | TITLE | | NAMA PASPOR | | ALAMAT | | PROVINSI | | KELURAHAN | | KETERANGAN |
| 1 | | TUAN | | MUHIB HUDA MUHAMMADY | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 2 | | NYONYA | | SITI DJUWARIYAH ABDUL RACHMAN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 3 | | NYONYA | | DEWI NUR ARIA PROBOSARI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 4 | | TUAN | | MUHAMMAD NAUFAL SYARIFUDDIN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 5 | | TUAN | | MOZARTINO FURQANSYAH AVICENA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 6 | | TUAN | | AHMAD BRANI AMBROSINI TAMBUNAN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 7 | | TUAN | | KHALIFATURRAHMAN ZAID HUSIN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 8 | | NYONYA | | SRI YUNIARTI WAGIMAN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 9 | | TUAN | | DJAJANTO BIN KARTO MIHARDJA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 10 | | NYONYA | | IKA RATNA WIDARSI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 11 | | NYONYA | | ALFIYAH MANZILI ROKHMAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 12 | | NYONYA | | LAILY UMRAINIE | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 13 | | TUAN | | DIDIK SUNARSO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 14 | | NYONYA | | ISMIATI SAIMUN KARTODIKROMO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 15 | | TUAN | | ZIYAN MUBAROK ACHMAD YANI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 16 | | NYONYA | | SRI SUWARTIK WIROSENEN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 17 | | TUAN | | DZAKA DZAWANI AFLAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 18 | | TUAN | | JADID FAWAZ AULIA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 19 | | NYONYA | | ANA MARATUS SHOLIHAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 20 | | NYONYA | | YUMINI WAGIMAN TAMUN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 21 | | TUAN | | SUCIPTO GIYONO KOTHO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 22 | | NYONYA | | SHESHA CHAROLIN SUCIPTO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 23 | | TUAN | | FAYYAD SYAFIAN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 24 | | TUAN | | JUNEDI HANAFI BAKRI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 25 | | TUAN | | MUHAMMAD RAKA NAUFAL AL NAASIK | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 26 | | NYONYA | | SIFAT ARUMI ALFATEKAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 27 | | NYONYA | | KANTHI ANDAYANI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 28 | | TUAN | | EDY SUPRIYANTO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 29 | | TUAN | | MUHAMMAD JUNAIDI ZAENURI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 30 | | TUAN | | ZAINURI SETU MADRAIS | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 31 | | NYONYA | | WIDA DAMAYANTI KARIMUN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 32 | | TUAN | | MUHAMMAD ALI MANSHUR | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 33 | | NYONYA | | DAURIES ARIYANTI MUSLIKHAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 34 | | TUAN | | ACHMAD ZABRAN AJWAD RABBANI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 35 | | TUAN | | FATHAN GIBRANI FUAD | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 36 | | NYONYA | | NAJWA NURUL ULFAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 37 | | TUAN | | MUHAMMAD FAJRUR ROHMAN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 38 | | NYONYA | | FITRI NUR AZIZAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 39 | | TUAN | | MANSUR ABDULLAH ABDUL GONI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 40 | | NYONYA | | MARFAIAH RADEN AJI HAQIQI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 41 | | TUAN | | AHMAD HABIBUR ROHMAN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 42 | | NYONYA | | ALYA NURUL HUSNA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 43 | | TUAN | | GILANG AJIE NUR PRATAMA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 44 | | NYONYA | | ASTUTI RETNOWATI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 45 | | TUAN | | MUHAMMAD ADITYA GUMILANG NURFIRMANSYAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 46 | | TUAN | | JANURI SUMONO SOEKARMAN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 47 | | TUAN | | GHIFARI ALVIAN NUR ADRIANSYAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 48 | | NYONYA | | JULIANA PURNOMO SARI SRI HARTO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 49 | | TUAN | | AQIL AYYASHI ISMAIL | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 50 | | NYONYA | | SUSILAWATI IDRIS NURDIN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 51 | | NYONYA | | NURHAYATI IDRIS NUDDIN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 52 | | TUAN | | MUHAMMAD ZHORIF ISMAIL | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 53 | | NYONYA | | LUBNA ANWAR SADAT | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 54 | | TUAN | | BARI SADAT ISMAIL | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 55 | | TUAN | | MARIMAN KROMO REJO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 56 | | NYONYA | | JAMITUN KASIMIN SONIO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 57 | | NYONYA | | NURI SETYANINGRUM | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 58 | | TUAN | | OMAR IZRA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 59 | | TUAN | | MUHAMMAD ATHAR AZKIA FIRDAUS | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 60 | | TUAN | | SARENGAT ABDULKARIM ABDUL SALAM | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 61 | | TUAN | | NURUL HUDA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 62 | | TUAN | | MUHAMMAD DAFFA ALIF RAMADHAN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 63 | | NYONYA | | HANNA NAILATUL IZZAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 64 | | NYONYA | | NUNING PURWANINGRUM PURWADI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 65 | | NYONYA | | SUGIYARTI MARTO WIJOYO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 66 | | NYONYA | | NISRINA ALIYA ATIKAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 67 | | TUAN | | PRAWOTO HADI SUPRAPTO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 68 | | NYONYA | | SITI AISYAH AZZAHRA FIANTIKA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 69 | | TUAN | | AGUSTAMI HASANUDDIN B Y HASANUDDIN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 70 | | NYONYA | | KHUSNUL FAUZ SYIFA NUR NABILA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 71 | | TUAN | | HENDRI SETIYO WIBOWO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 72 | | TUAN | | MUHAMMAD ARIEF AKBAR | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 73 | | NYONYA | | FAUZTINA IZDIHAR SARTONO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 74 | | TUAN | | ILHAM SATYA HASANUDDIN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 75 | | TUAN | | AZKIRA WILMA IHSAN NURDIN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 76 | | TUAN | | FIQIH TANJUNG ANDIKA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 77 | | TUAN | | KAUTSAR ADNAN NAWAWI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 78 | | TUAN | | RIZKY NUR ALTAF | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 79 | | NYONYA | | ASYIKA RIDOLLA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 80 | | NYONYA | | FELLA ATTAQY SUNANTO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 81 | | TUAN | | SUYOTO ARIEF BIN KADEMO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 82 | | NYONYA | | SITI MUBAROKAH BINTI GUNUNG | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 83 | | NYONYA | | RIZKYA AMANDA PUTRI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 84 | | TUAN | | MUHAMMAD HASAN MUSTHOFA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 85 | | TUAN | | ABID ABDILLAH FAQIH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 86 | | NYONYA | | NURFADHILAH RAUF MUHAMMAD | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 87 | | TUAN | | MUKHAMMAD AIMARUL USMAN MAULUDIN RAMLI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 88 | | TUAN | | HAFIZ RENJIRO BUJANG MUHAMMAD | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 89 | | NYONYA | | NURKAMILAH BASIR | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 90 | | TUAN | | MUHAMMAD HAFIDZ | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 91 | | TUAN | | MASDAFFA JOKO SETIYONO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 92 | | TUAN | | ARI SURYANA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 93 | | TUAN | | HASBI AJIRNI BUJANG MUHAMMAD | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 94 | | NYONYA | | CINAETI CARIYAH TARIMAN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 95 | | NYONYA | | DAHLIA MASKIN MUNDAK | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 96 | | TUAN | | JOKO SETIYONO | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 97 | | NYONYA | | PUTRI ANISAH SALMA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 98 | | TUAN | | WIJANG ABDILLAH MOERDIMAN | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 99 | | NYONYA | | SAVA NUR FADHILAH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 100 | | NYONYA | | ALIA NADA RAHMAWATI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 101 | | TUAN | | MUJAHID JAUHAR FANANI ALBAB PUTRA | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 102 | | NYONYA | | ANIK DWI NINGSIH | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 103 | | NYONYA | | ZAIMAH DZATI BAYANI QOSHDINA PUTRI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 104 | | NYONYA | | IFFA YULIA SAKTI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 105 | | TUAN | | SUMARDIONO KARNI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 106 | | TUAN | | MUHAMAD FAZA FAUZAN SOBARI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 107 | | TUAN | | MUHAMMAD JAUHAR FIKRI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 108 | | NYONYA | | BINTI SHOLIHATIN DIMYATI | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 109 | | NYONYA | | RAIHANAH TSABITAH DJAMAR | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 110 | | TUAN | | MUHAMMAD MIHLAL FIRDAUS | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 111 | | TUAN | | MOHAMMAD AKRIM MARIYAT | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 112 | | NYONYA | | DEWI AMINAH BINTI ACHMAD | | PONOROGO | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 113 | | TUAN | | MUNIF ATTAMIMI FARID | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 114 | | TUAN | | MUDJIANTO SUKIRMAN NYAHMIN | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 115 | | NYONYA | | DJUMIRAH LOSO DJAMAN | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 116 | | NYONYA | | SRI HAYATI | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 117 | | TUAN | | HARI DIDIK SANTOSO | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 118 | | NYONYA | | NURUL KHOTIMAH | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 119 | | NYONYA | | DARMINI TARMOREJO | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 120 | | TUAN | | SLAMET WIRO UTOMO | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 121 | | NYONYA | | SRIYATI WIRO UTOMO | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 122 | | TUAN | | SUYAMTO WIRO UTOMO | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 123 | | #REF! | | WINARTI SAMIHARJO | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 124 | | NYONYA | | CITRA PUSPITASARI | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 125 | | NYONYA | | RIO DAMAYANTI | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 126 | | NYONYA | | WINDY SEPTINA SARI | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 127 | | TUAN | | MIKYARUL ILMI M SALEH | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 128 | | TUAN | | MUHAMMAD ILMI MUSYAFFA | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 129 | | NYONYA | | JUBAIDAH INAS UMAR | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 130 | | TUAN | | SUPIAN HAMDI ASRA | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 131 | | TUAN | | ADENAN SUPIAN HAMDI | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 132 | | TUAN | | RIDUAN SOPIAN HAMDI | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 133 | | TUAN | | MUKSIN MARHANI DERANG | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 134 | | TUAN | | ABDUL SAMAD DARMANSYAH | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 135 | | NYONYA | | NAULIA MUHAMMAD HUSAINI | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 136 | | NYONYA | | NOORMIYAH SAHRUN | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 137 | | NYONYA | | NOVIA RAHMI MASWAN | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 138 | | NYONYA | | JIHAN HANIFA MUHAMMAD FATHAN | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 139 | | TUAN | | SYAMSUDDIN SYAHRUN | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 140 | | TUAN | | JUNAIDI SYAHRAN SYAHRUN | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 141 | | TUAN | | RIZFI SYARIF AKRIM | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 142 | | TUAN | | TOTOT WIRUTOMO ALFIRMANSYAH GINTUNG PUTRA | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
| 143 | | NYONYA | | ENO NURHASANAH | | SURABAYA | | JAWA TIMUR | | GONTOR | | SUB - JED / JED - SUB |
