| No | Nama Lengkap | Cabang Olahraga | Asal Provinsi | No. LANKOR |
| 1 | dr. CHIKIH, Sp.KO, MKK (DMA) | REHAB AND CONDITIONING ATLET | JAWA BARAT | 2520010649 |
| 2 | FIRMAN MUHARRAM SYACH | KICK BOXING | JAWA TENGAH | 2520010650 |
| 3 | JALU AJI DARMA SUSENO | MUAYTHAI | JAWA TENGAH | 2520010651 |
| 4 | RONI APRIATNA | ATLETIK | JAWA BARAT | 2520010652 |
| 5 | DANU AGUNG PRIYATNA | BOLA VOLI | JAWA BARAT | 2520010653 |
| 6 | MUHAMMAD LUTFIE IBNU BADAR | ATLETIK | DI YOGYAKARTA | 2520010654 |
| 7 | SEPTIANTO | ATLETIK | SUMATERA SELATAN | 2520010655 |
| 8 | KEVIN ANDRIAN SETIAWAN | RUNNING | BANTEN | 2520010656 |
| 9 | BAGUS LEGOWO, S.Psi | TRIATHLON | KALIMANTAN SELATAN | 2520010657 |
| 10 | DANA RIZKI VENERIAN | BOLA VOLI | JAWA TIMUR | 2520010658 |
| 11 | IKHSAN KURNIAWAN | BULUTANGKIS | SUMATERA BARAT | 2520010659 |
| 12 | NAUFAL FATHIN ATHA | ATLETIK | DI YOGYAKARTA | 2520010660 |
| 13 | YAKFI ASHAR MUZAQI | SEPAK BOLA | JAWA TENGAH | 2520010661 |
| 14 | MANDE RABINDRANATA | PENCAK SILAT | DKI JAKARTA | 2520010662 |
| 15 | ANDRAS YOGAMANTRI | PENCAK SILAT | DKI JAKARTA | 2520010663 |
| 16 | BILAL YANUAR SUGRINDO AS SALAFI | WUSHU | JAWA TENGAH | 2520010664 |
| 17 | NOVITRI FORDA TANJUNG | TINJU | KALIMANTAN SELATAN | 2520010665 |
| 18 | LATHIFA LISA | TAEKWONDO | JAWA TENGAH | 2520010666 |
| 19 | FITRIANA | PILATES | SULAWESI SELATAN | 2520010667 |
| 20 | LUQMAN WIJAYA | TAEKWONDO | JAWA TENGAH | 2520010668 |
| 21 | DHIMAS WICAKSONO, ST.,MT | TAEKWONDO | JAWA TENGAH | 2520010669 |
| 22 | KRISNA PRAKOSO | JUJITSU | JAWA TENGAH | 2520010670 |
| 23 | ELYAKIM TAMPA’I | BOLA BASKET | SULAWESI UTARA | 2520010671 |
| 24 | FARIZ MUZAENI S.Pd. | SEPAKBOLA/FUTSAL | JAWA TENGAH | 2520010672 |
| 25 | MOHAMAD PANDU WIJAYA | PENCAK SILAT | JAWA TIMUR | 2520010673 |
| 26 | FADHEL RAMADHAN | LARI | SULAWESI SELATAN | 2520010674 |
| 27 | ADI WIBISONO | KARATE | JAWA TENGAH | 2520010675 |
| 28 | AHMAD RYAN NOOR FALAH | KICK BOXING | DI YOGYAKARTA | 2520010676 |
| 29 | KISY JASTIN TJELENI | ATLETIK | MALUKU UTARA | 2520010677 |
| 30 | INDRA MEISYAH | KARATE | BANTEN | 2520010678 |
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