| No | Nama Lengkap | Cabang Olahraga | Asal Provinsi | No. LANKOR |
| 1 | TRI SAKTI MULIA SARAGI | Tenis | SUMATERA UTARA | 2520011255 |
| 2 | SUYADI | Judo | SUMATERA UTARA | 2520011256 |
| 3 | ADHMIL FAHMI | Sambo | SUMATERA UTARA | 2520011257 |
| 4 | MUHAMMAD PADLY | Biliar | SUMATERA UTARA | 2520011258 |
| 5 | SAFRIDOLI TAMPUBOLON, S.E | Kurash | SUMATERA UTARA | 2520011259 |
| 6 | MUHAMMAD SALMAN ALFARISI | Bulutangkis | SUMATERA UTARA | 2520011260 |
| 7 | MHD.ANDIKA | Tenismeja | SUMATERA UTARA | 2520011261 |
| 8 | CAESA AL ROZAK | Sepaturoda | SUMATERA UTARA | 2520011262 |
| 9 | DAVID SUSILO BUDI | Gateball | SUMATERA UTARA | 2520011263 |
| 10 | ANDRY PURBA | Menembak | SUMATERA UTARA | 2520011264 |
| 11 | TRIYANTO | Aero sport | SUMATERA UTARA | 2520011265 |
| 12 | FEBRI HARTONO | Arung Jeram | SUMATERA UTARA | 2520011266 |
| 13 | NURIYOTO | Atletik | SUMATERA UTARA | 2520011267 |
| 14 | MUHAMMAD FACHREZZY | Squash | SUMATERA UTARA | 2520011268 |
| 15 | DIO ANGGI SAHPUTRA SARAGIH | Panahan | SUMATERA UTARA | 2520011269 |
| 16 | MIN CUNG | Binaraga & Fitness | SUMATERA UTARA | 2520011270 |
| 17 | BOB RAHMAT MANALU | Panjat Tebing | SUMATERA UTARA | 2520011271 |
| 18 | ROY HENDRADI | Dancesport | SUMATERA UTARA | 2520011272 |
| 19 | RONIKA MASRI SAGALA | Tinju | SUMATERA UTARA | 2520011273 |
| 20 | ROY BREMA GINTING | Gulat | SUMATERA UTARA | 2520011274 |
| 21 | AHMAD SUMARNO | Taekwondo | SUMATERA UTARA | 2520011275 |
| 22 | ILHAM SULUNG BINTANG | Baseball Softball | SUMATERA UTARA | 2520011276 |
| 23 | TAUFIK ARI KUSUMA | Sepak Takraw | SUMATERA UTARA | 2520011277 |
| 24 | AMRINTO SINURAT S.PD | Kick Boxing | SUMATERA UTARA | 2520011278 |
| 25 | IRVAN ARON WIJAYA | Jujitsu | SUMATERA UTARA | 2520011279 |
| 26 | AMRICO YOSUA MALEAKHIANO SIMBOLON | Hapkido | SUMATERA UTARA | 2520011280 |
| 27 | ADEK ARIFIN HARAHAP, S.PD | Pencaksilat | SUMATERA UTARA | 2520011281 |
| 28 | ANDI KURNIAWAN | Sepakbola Mini | SUMATERA UTARA | 2520011282 |
| 29 | NICKY KARDOVA | Bolabasket | SUMATERA UTARA | 2520011283 |
| 30 | IRWANSYAH RAMADHAN PRAKASA | Drumb Band | SUMATERA UTARA | 2520011284 |
| 31 | YUSERDY SUGIARTO | Motor | SUMATERA UTARA | 2520011285 |
| 32 | AHMAD RINALDI TARIGAN | Tarung Derajat | SUMATERA UTARA | 2520011286 |
| 33 | AHMAD RUYYAN ABDILLAH LUBIS | Petanque | SUMATERA UTARA | 2520011287 |
| 34 | FAKHRI RAMADHANI, M.PD | Angkat Besi | SUMATERA UTARA | 2520011288 |
| 35 | INDRA HUSADA RITONGA | Kempo | SUMATERA UTARA | 2520011289 |
| 36 | SULAIMAN | SportSepeda | SUMATERA UTARA | 2520011290 |
| 37 | DEDI IRWANSYAH SIREGAR | Karate | SUMATERA UTARA | 2520011291 |
| 38 | MARTOMU NOEL SIANIPAR | WI (Wushu Indonesia) | SUMATERA UTARA | 2520011292 |
| 39 | DIAN RAHMAYATI, S.PD | Anggar | SUMATERA UTARA | 2520011293 |
| 40 | FAIZAL IWANSYAH LASE | Savate | SUMATERA UTARA | 2520011294 |
| 41 | MUHAMMAD ARIEF WIJAYA | Pickleball | SUMATERA UTARA | 2520011295 |
| 42 | MUHAMMAD SURYA TEGUH, S.PD | Akuatik | SUMATERA UTARA | 2520011296 |
| 43 | MUHAMMAD ABDI SYAPUTRA | Kabadi | SUMATERA UTARA | 2520011297 |
| 44 | DENNY BANGUN SYAHPUTRA NST | Bridge | SUMATERA UTARA | 2520011298 |
| 45 | SOUFIAN | Bolavoli | SUMATERA UTARA | 2520011299 |
| 46 | DEDI ASMAJAYA, S. PD., M. PD | Ceicket | SUMATERA UTARA | 2520011300 |
| 47 | ALEK CHANRA SIHITE | Dayung | SUMATERA UTARA | 2520011301 |
| 48 | MARIA LOUISOICHIE JOBY SIRAIT | Angkat Berat | SUMATERA UTARA | 2520011302 |
| 49 | ALFI SYAHRI | Bolatangan | SUMATERA UTARA | 2520011303 |
| 50 | PUTRA ARLINUS ZENDRATO | Hoki | SUMATERA UTARA | 2520011304 |
| 51 | PAHOTAN MARULITUA HUTAGALUNG | Catur | SUMATERA UTARA | 2520011305 |
| 52 | ZUNAIDI ISKANDAR | Selam | SUMATERA UTARA | 2520011306 |
| 53 | FIRZA WAHYU IRAWAN | Seakbola | SUMATERA UTARA | 2520011307 |
| 54 | FIL ERWIN LUBIS., M.Pd. | E-Sport | SUMATERA UTARA | 2520011308 |
| 55 | DWI NOFRIYANTO | Gateball | SUMATERA UTARA | 2520011309 |
| 56 | AGENG PERMADI | Gateball | SUMATERA UTARA | 2520011310 |
