| No | Nama Lengkap | Cabang Olahraga | Asal Provinsi | No. LANKOR |
| 1 | Abidin Gusti SE | Karate | Papua Barat Daya | 2420071733 |
| 2 | Herri C Korano | KONI | Papua Barat Daya | 2420071734 |
| 3 | Fadly Rumagesan | Karate | Papua Barat Daya | 2420071735 |
| 4 | Abu Bakar Gusti SE | Karate | Papua Barat Daya | 2420071736 |
| 5 | Abdul gafar g gusti SE | Karate | Papua Barat Daya | 2420071737 |
| 6 | Wahyu Retno Widiyaningsih, S.Pd., AIFMO-P | KONI | Papua Barat Daya | 2420071738 |
| 7 | Heru Putera Anugerah | ESI | Papua Barat Daya | 2420071739 |
| 8 | Jaharudin, M.Pd. | UNIMUDA | Papua Barat Daya | 2420071740 |
| 9 | Kurniawan | Selam | Papua Barat Daya | 2420071741 |
| 10 | Syahrir, S.Or.,S.Pd.,M.Pd.Gr | Petanque | Papua Barat Daya | 2420071742 |
| 11 | Victor Dominggus | Hapkido | Papua Barat Daya | 2420071743 |
| 12 | Umar M | POBSI | Papua Barat Daya | 2420071744 |
| 13 | Texas Donni Menanti | Taekwondo | Papua Barat Daya | 2420071745 |
| 14 | Yessy Agreins Sulingan | Bulutangkis | Papua Barat Daya | 2420071746 |
| 15 | Helmi Sultansyah Kelanohon | TENIS MEJA | Papua Barat Daya | 2420071747 |
| 16 | Akhmad Zaini | MENEMBAK | Papua Barat Daya | 2420071748 |
| 17 | YUSNI AHMAD MUSTOFA | Dayung | Papua Barat Daya | 2420071749 |
| 18 | Arjuna catur pamungkas S.Pd. | Atletik | Papua Barat Daya | 2420071750 |
| 19 | Hari Wibowo S.Sos | Kempo/Perkemi | Papua Barat Daya | 2420071751 |
| 20 | Sugiono,M.M.Pd. | UNIMUDA | Papua Barat Daya | 2420071752 |
| 21 | Dwi Joko Waluyo, S.Pd | Pencak Silat | Papua Barat Daya | 2420071753 |
| 22 | Bandu Bumburo, M.M.Pd. | UNIMUDA | Papua Barat Daya | 2420071754 |
| 23 | Yance Saday | PKBI | Papua Barat Daya | 2420071755 |
| 24 | Edowardus Limaheking | Tinju | Papua Barat Daya | 2420071756 |
| 25 | Saiful Anwar, M.Pd. | UNIMUDA | Papua Barat Daya | 2420071757 |
| 26 | Istiyono, M.Pd. | UNIMUDA | Papua Barat Daya | 2420071758 |
| 27 | Anton Sukowati, M.Pd. | UNIMUDA | Papua Barat Daya | 2420071759 |
| 28 | Mursalim, S.Sos. | ISSI | Papua Barat Daya | 2420071760 |
| 29 | Darsono, M.M.Pd. | KONI | Papua Barat Daya | 2420071761 |
| 30 | Harmaman, M.Pd. | UNIMUDA | Papua Barat Daya | 2420071762 |
