| No | Nama Lengkap | Cabang Olahraga | Asal Provinsi | No. LANKOR |
| 1 | Ivan Basten Sianturi | Futsal | SUMUT | 2320070588 |
| 2 | Hemat Sinaga | SUMUT | 2320070589 | |
| 3 | Bertobat Lubis | Atletik | SUMUT | 2320070590 |
| 4 | Desiana Anggreini Pasaribu | Taekwondo | SUMUT | 2320070591 |
| 5 | Nurainun Br Perangin-Angin | Atletik | SUMUT | 2320070592 |
| 6 | Nora Mutiara Purba | SUMUT | 2320070593 | |
| 7 | Naomi Melsandy Simanullang | Atletik | SUMUT | 2320070594 |
| 8 | Satrio Armando Marbun | Atletik | SUMUT | 2320070595 |
| 9 | Tondi Maula Hutasuhut | Atletik | SUMUT | 2320070596 |
| 10 | Lamkasea Bancin | Muaythai | SUMUT | 2320070597 |
| 11 | Jusup Doni Siburian | Muaythai | SUMUT | 2320070598 |
| 12 | Rahmadani Fitri Oce | Bola Voli | SUMUT | 2320070599 |
| 13 | Muhammad Chairad | Tarung Derajat | SUMUT | 2320070600 |
| 14 | Firmansyah Putra Lubis | Tarung Derajat | SUMUT | 2320070601 |
| 15 | Putra Arima | Bola Voli | SUMUT | 2320070602 |
| 16 | Asep Prima | SB- Renang | SUMUT | 2320070603 |
| 17 | Awalluddin | Atletik | SUMUT | 2320070604 |
| 18 | Murniwati Tumangger | Atletik | SUMUT | 2320070605 |
| 19 | Lamhot Putra E Silitonga | Muaythai | SUMUT | 2320070606 |
| 20 | Srindiko Hutapea | Karate | SUMUT | 2320070607 |
| 21 | Musa Simanjuntak | Sepak Bola | SUMUT | 2320070608 |
| 22 | Yohannes Limardi Porseana Sitorus | Boxing | SUMUT | 2320070609 |
| 23 | Dian Vivid Sitompul | Atletik | SUMUT | 2320070610 |
| 24 | Zulfirman Erlangga Lubis | Karate | SUMUT | 2320070611 |
| 25 | Ruben Ebenezer Tamba | Atletik | SUMUT | 2320070612 |
| 26 | Oza Kharisma | Hockey | SUMUT | 2320070613 |
| 27 | Dedy Rosadi Lubis | Atletik | SUMUT | 2320070614 |
| 28 | Ependi Simatupang | Futsal | SUMUT | 2320070615 |
| 29 | Hendrianto, M.Pd. | Beladiri | SUMUT | 2320070616 |
| 30 | Darwis Aryanto Purba, SH | Atletik | SUMUT | 2320070617 |
| 31 | Nabilla Alifia Ananda | Hockey | SUMUT | 2320070618 |
| 32 | Axl Esra David Sihite | Karate | SUMUT | 2320070619 |
| 33 | Uni Jumat Sari Tumanggor | Karate | SUMUT | 2320070620 |
| 34 | Basrah Nasution | Karate | SUMUT | 2320070621 |
| 35 | Arjonius Panggabean | Atletik | SUMUT | 2320070622 |
| 36 | Ozcah Natanael Sijabat | Atletik | SUMUT | 2320070623 |
| 37 | Jhon Piter Agustony Heryanto | Shorinji Kempo | SUMUT | 2320070624 |
| 38 | Joy Brema Sembiring | Sepak Bola | SUMUT | 2320070625 |
| 39 | Bewi Syahputra | Sepak Bola | KEPRI | 2320070626 |
| 40 | Joshua Sinaga | Tenis Lapangan | SUMUT | 2320070627 |
| 41 | Raymundus Ginting | Sepak Bola | SUMUT | 2320070628 |
| 42 | Niko Ardinata Kristofel Zendrato | Futsal | SUMUT | 2320070629 |
| 43 | Aris Iswandi | Taekwondo | SUMUT | 2320070630 |
| 44 | Hariman Sofia | Sepak Bola | SUMUT | 2320070631 |
| 45 | Pratiwi Nanta Andrani | Atletik | SUMUT | 2320070632 |
| 46 | Brian Fridel Jubet Sembiring | Pencak Silat | SUMUT | 2320070633 |
| 47 | Dianto Simanjuntak | Atletik | SUMUT | 2320070634 |
| 48 | Parmohonan Matondang | Atletik | SUMUT | 2320070635 |
| 49 | Muhammad Ridho Kurniawan | Atletik | SUMUT | 2320070636 |
| 50 | Christine Stevany Hutabarat | Pencak Silat | SUMUT | 2320070637 |
| 51 | Wintari Abadi | Bola Voli | SUMUT | 2320070638 |
| 52 | Pormatuaro Simanullang, S.Or. | Renang | SUMUT | 2320070639 |
| 53 | Maulita Winara | Arung Jeram | ACEH | 2320070640 |
| 54 | Ary Permana Saputra Sitompul | Atletik | SUMUT | 2320070641 |
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