| No | Nama Lengkap | Cabang Olahraga | Asal Provinsi | No. LANKOR |
| 1 | YASHAFI FADLIKA RISYANTO | RUGBY | JAWA TIMUR | 2420009878 |
| 2 | NUNO FEBRIANSYAH | ANGGAR | JAWA TIMUR | 2420009879 |
| 3 | ELY FARIHATUL KAMALIYAH | ANGGAR | JAWA TIMUR | 2420009880 |
| 4 | SALIM, S. Pd, M. Pd | DRUM BAND | JAWA TIMUR | 2420009881 |
| 5 | FATHUR ROHMAN, M. Pd | DRUM BAND | JAWA TIMUR | 2420009882 |
| 6 | DWIE ARDHANNY NOVANTO | PICLEBALL | JAWA TIMUR | 2420009883 |
| 7 | VIOLINA AMELIA PUTRI | PICLEBALL | JAWA TIMUR | 2420009884 |
| 8 | UBAYDILLAH WILDAN ROMADHON | TARUNG DRAJAT | JAWA TIMUR | 2420009885 |
| 9 | DHANI AHMAD ABDULLAH | TARUNG DRAJAT | JAWA TIMUR | 2420009886 |
| 10 | DEDY SUPRANOTO | GATEBALL | JAWA TIMUR | 2420009887 |
| 11 | GIBSON CHARIS SAPUTRA | GATEBALL | JAWA TIMUR | 2420009888 |
| 12 | LUKMANUL KHAFID | MOTOR | JAWA TIMUR | 2420009889 |
| 13 | ERWIN AGUS PERMADI | MOTOR | JAWA TIMUR | 2420009890 |
| 14 | MUHAMMAD RIDWAN | PANJAT TEBING | JAWA TIMUR | 2420009891 |
| 15 | SLAMET RIYADI | PANJAT TEBING | JAWA TIMUR | 2420009892 |
| 16 | JAENUL ARIFIN | WUSHU | JAWA TIMUR | 2420009893 |
| 17 | VITTO SENNA PRATAMA | WUSHU | JAWA TIMUR | 2420009894 |
| 18 | MOCH. FAHRUR RIZAL ZAKARIA | SAMBO | JAWA TIMUR | 2420009895 |
| 19 | NUR ROHMAT SHOLIHIN | SAMBO | JAWA TIMUR | 2420009896 |
| 20 | EKO PURNOMO | MUAYTHAI | JAWA TIMUR | 2420009897 |
| 21 | ACHMAD NOOR HUDA | MUAYTHAI | JAWA TIMUR | 2420009898 |
| 22 | SYAHRONI HIDAYAT | KICKBOXING | JAWA TIMUR | 2420009899 |
| 23 | TRI DIPTA INDRA KUMALA | KICKBOXING | JAWA TIMUR | 2420009900 |
| 24 | M. MASHOOICHUL ‘IBAD | IBCA MMA | JAWA TIMUR | 2420009901 |
| 25 | ALDY YOGA PRATAMA | IBCA MMA | JAWA TIMUR | 2420009902 |
| 26 | PUJI PRASTYO | GULAT | JAWA TIMUR | 2420009903 |
| 27 | ROHMAD, S. Or | GULAT | JAWA TIMUR | 2420009904 |
| 28 | HAFID MAHMUDI | TRIATHLON | JAWA TIMUR | 2420009905 |
| 29 | DICKY PUTRA SURYA DINATA | TRIATHLON | JAWA TIMUR | 2420009906 |
| 30 | UMURROSYIDAH | BASEBALL | JAWA TIMUR | 2420009907 |
| 31 | PRESDINA ADE PARAMITA | BASEBALL | JAWA TIMUR | 2420009908 |
| 32 | AKHMAD DWI KURNIAWAN, S.Pd | WOODBALL | JAWA TIMUR | 2420009909 |
| 33 | ALI HARFANI, S. Pd | WOODBALL | JAWA TIMUR | 2420009910 |
| 34 | ARIF SUGIJANTO | KONI | JAWA TIMUR | 2420009911 |
| 35 | MOHAMAD SAHRUL HAFIZ | KONI | JAWA TIMUR | 2420009912 |
| 36 | FIRMAN KHALID A | KONI | JAWA TIMUR | 2420009913 |
| 37 | M. NUR ZJAENI | KONI | JAWA TIMUR | 2420009914 |
| 38 | CHUSNUL CHOTIMAH | KONI | JAWA TIMUR | 2420009915 |
| 39 | HARI TJAHYO WIDJIHATNO | KONI | JAWA TIMUR | 2420009916 |
