| Nama Kaling | Kode Lingkungan | Lingkungan/Kaling | Form Pengajuan | 
|---|---|---|---|
| I WAYAN UNGSI | LJK | JASRI KELOD | Form Surat | 
| I WAYAN SIDRA | JSK | JASRI KALER | Form Surat | 
| I MADE PUTRA ARDANA | GLR | GALIRAN | Form Surat | 
| I GUSTI GEDE MURYA | GT | GENTENG | Form Surat | 
| I GUSTI BAGUS WIRYANTARA | LT | TENGAH | Form Surat | 
| I GEDE SUASTA ARDIKA | LD | DESA | Form Surat | 
| I GUSTI NYOMAN NGURAH | LG | GEDE | Form Surat | 
| MUSLIM NAWAWI | TLGMS | TELAGAMAS | Form Surat | 
| BUDI SASTRAWAN | KRS | KARANGSOKONG | Form Surat | 
| I KOMANG GEDE ARSANA PUTRA | GLK | GALIRAN KALER | Form Surat |