| No | Nama | Cabor | Keterangan |
| 1 | Yanes Raubaba | Atletik | 172002195 |
| 2 | Akil, S.Pd, M.Pd. | Atletik | 172002196 |
| 3 | Fadriansyah Fachril, SE, MM. | Taekwondo | 172002197 |
| 4 | Harianto Suriba | Atletik | 172002198 |
| 5 | Rosario Remilo Renwarin | Tinju | 172002199 |
| 6 | Muh. Hamzah, S.Pd. | Sepak Bola | 172002200 |
| 7 | Amiel Amon Kosay | karate | 172002201 |
| 8 | Markus Ansanay | Atletik | 172002202 |
| 9 | Viera M Hetharie | Atletik | 172002203 |
| 10 | Matheos Luturmas | Atletik | 172002204 |
| 11 | Apolos Nikson Kurni | Tinju | 172002205 |
| 12 | Yehezkiel Okoseray | Gulat | 172002206 |
| 13 | Berth Leonard S | Judo | 172002207 |
| 14 | Silas Patai | Atletik | 172002208 |
| 15 | Lilis Suryani Karubaba | Silat | 172002209 |
| 16 | Estevanus O Muray | Atletik | 172002210 |
| 17 | Nicky Leonardo Ilolu, S.Pd. | Wushu | 172002211 |
| 18 | Senia M Monim, S.Pd. | Bola Voli | 172002212 |
| 19 | Ester Anokyo, SPd. | Renang | 172002213 |
| 20 | Alfred F Andarek | Atletik | 172002214 |
| 21 | Edward Samuel Salomo Habibu | Taekwondo | 172002215 |
| 22 | Nicodemus Rerine | Atletik | 172002216 |
| 23 | Meldo Defox Baransano, S.IP. | Angkat besi | 172002217 |
| 24 | Keithe Aragae, SH. | Basket | 172002218 |
| 25 | Alfonso Ayeri | Atletik | 172002219 |
| 26 | Yance Y CH. Rumbino | Sepak Bola | 172002220 |
| 27 | Grace Agustin Itaar | Softball | 172002221 |
