| NO | NAMA | ASAL | CABOR | NO. PELATIH |
| 1 | RUCHY PHARAMANANDYA OKTA | JATIM | SB/FUTSAL | 182002781 |
| 2 | BAKUH IKHSA MEHENDRA GUMILAR | JATIM | SEPAKBOLA | 182002782 |
| 3 | YUTSYA’ FAHRRY OEMAR | NTB | RENANG/SELAM | 182002783 |
| 4 | ILHAM AGITIYATAMA, S.PD | JATIM | ANGGAR/SB | 182002784 |
| 5 | EFNI TUANI LUBIS | JATIM | DRUMBAND | 182002785 |
| 6 | ACH. RUIFA’I, SE. | JATIM | TENIS MEJA | 182002786 |
| 7 | ARIF EKO PRASETYO | JATIM | SEPAKBOLA | 182002787 |
| 8 | ARY SUSANTO | JATENG | ATLETIK | 182002788 |
| 9 | SHERIF JUNIAR ARYANTO | JATIM | SEPAKBOLA | 182002789 |
| 10 | ZUHRI AGUS WAKHID | JATIM | SEPAKBOLA | 182002790 |
| 11 | BAGUS SETIAWAN, S.PD | JATIM | BOLA VOLI | 182002791 |
| 12 | FANNY PERMANA SUJATMIKO, S.PD | JATIM | SEPAKBOLA | 182002792 |
| 13 | ROBI SYUHADA ISTOFIAN, S.PD | JATIM | SEPAKBOLA | 182002793 |
| 14 | DANIS SUNU I MADEANTO | JATIM | ATL/SB/FTSL | 182002794 |
| 15 | KHARISMA BINTANG HERLANGGA S.PD | JATIM | SB/FUTSAL | 182002795 |
| 16 | DIMAS AGUNG PRASETYAWAN, M.PD | JATIM | SEPAKBOLA | 182002796 |
| 17 | ANDI MULYA | KALTIM | ATLETIK | 182002797 |
| 18 | HERDY SETYABUWONO | KALTIM | ATLETIK | 182002798 |
| 19 | MOH. SYUKRUL AMIN | JATIM | ATLETIK | 182002799 |
| 20 | M. RACHMAT DARMO UMAR, S.PD | MALUT | PENCAKSILAT | 182002800 |
| 21 | NELA PRANAWATI, S.PD | JATIM | ATL/FUTSAL | 182002801 |
| 22 | SUPARDI, S.PD | JATIM | TAEKWONDO | 182002802 |
| 23 | IHSAN RIDLO SAKTI PAMBUDI, S.PD | JATENG | SEPAKBOLA | 182002803 |
| 24 | FARREL OCTAVIANDI | JABAR | ATLETIK | 182002804 |
| 25 | I DEWA MADE MUDIYASA, S.PD | BALI | ATLETIK | 182002805 |
| 26 | LUTFI DINDA NOVANTIA, S.PD | JATIM | ATLETIK | 182002806 |
| 27 | BAYU MUKTI WIDOYOKO | JATENG | SB/FUTSAL | 182002807 |
| 28 | NOSA ILVAN GILIS M.PD | JATIM | SEPAKBOLA | 182002808 |
| 29 | HANAFI RAMADHANI, S.PD KOR | DIY | RUGBY | 182002809 |
| 30 | ANDRI SUYOKO, S.PD, M.KES | JATIM | KEMPO | 182002810 |
| 31 | TWIN EXA PRASTIZA | JATIM | SEPAKBOLA | 182002811 |
| 32 | FAISOL CHOIRUL SANI, S.PD, M.PD | JATIM | RENANG | 182002812 |
| 33 | YOGI SAYUTI, S.PD, M.PD | JATIM | TENISMEJA | 182002813 |
| 34 | MUHAMMAD IKHSANUDIN | JATIM | PENCAKSILAT | 182002814 |
| 35 | YULIAN MUSNANDAR, SH | JATIM | TAEKWONDO | 182002815 |
| 36 | HERI ZAFARUDDIN ZARO | JATIM | TAEKWONDO | 182002816 |
| 37 | MUCHAMAD NUR FAJAR ALIS | ATLETIK | 182002817 | |
| 38 | JUNIARMAN EDY SYAHURI | KALSEL | SB/FUTSAL | 182002818 |
| 39 | ARIES SETIAWAN JATMIKO | JATIM | TAEKWONDO | 182002819 |
| 40 | ILHAM RAYASAPUTRA | JATIM | TAEKWONDO | 182002820 |
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