| 1 | Paulina Ika Dewi Ratnaningsih Bere | Atambua | 12 Juli 1982 | Poltekkes Depkes Dili |
| 2 | Etik Purwaningsih | Demak | 08 Oktober 1986 | Akbid Muhammadiyah Kudus |
| 3 | Margeritha Afliana Takesan | Soe | 07 Maret 1978 | PPB SPK Depkes Ende |
| 4 | Elisabeth Bete | Teun | 19 Juli 1982 | PPB SPK AKPER Kab. Belu |
| 5 | Suci Kurniaty | Sila | 13 Juli 1981 | Poltekkes Depkes Mataram |
| 6 | Supartinah | Surabaya | 27 Maret 1976 | Poltekkes Kemenkes Mataram |
| 7 | Belandina Afliana Nggadas | Bakateu | 11 Juli 1967 | Poltekkes Depkes Denpasar |
| 8 | Nuratika | Sape | 04 Maret 1988 | Stikes Artha Bodhi Iswara Surabaya |
| 9 | Sapto Tri Mahaningrum | Sragen | 14 Februari 1990 | Akbid Harapan Bunda Bima |
| 10 | lla Amalia | Cilegon | 27 Juli 1987 | AKBID AL-Ishlah Cilegon |
| 11 | Lidia Sangu Ate | Dikira | 06 September 1977 | PPB SPK Waingapu |
| 12 | Marce Petan | Julamu | 14 Maret 1964 | PPB SPK Ende |
| 13 | Margaretha Liking Hocu | Rowang | 12 September 1979 | PPB SPK Waingapu |
| 14 | Sriniah | Alor | 15 Maret 1981 | PPB SPK Pemkab Belu |
| 15 | Anita | Bima | 04 Juli 1982 | Akbid Harapan Bunda Bima |
| 16 | Fenu Kharolina Sipa | Kapan | 09 September 1976 | PPB SPK Panti Rapih Yogyakarta |
| 17 | Rosdiana | Lantung Sepukur | 21 Mei 1986 | Stikes An-Nur Purwodadi |
| 18 | Roswita Maria Fatima Seran | Kada | 10 Maret 1989 | Akbid Anugrah Abadi Sumbawa |
| 19 | Marselina Marisa Tey Seran | Haliluki | 29 Maret 1988 | Akbid Anugrah Abadi Sumbawa |
| 20 | Huswatun Hasanah | Soro | 09/08/1988 | Univ. Muhammadiyah Mataram |
| JUMLAH : 20 ORANG |
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