| No | Nama Lengkap | Cabang Olahraga | Asal Provinsi | No. LANKOR |
| 1 | Aldy afriani | Balap sepeda | KALTIM | 2320070783 |
| 2 | Andry Pratama Wijaya | Balapsepeda | KALTIM | 2320070784 |
| 3 | Angga Arya Atmaza | Petanque | KALTIM | 2320070785 |
| 4 | Badri Irawan | Drumband | KALTIM | 2320070786 |
| 5 | Bagus Lintang Awang, SH | T Derajat | KALTIM | 2320070787 |
| 6 | Catur Hendra Saputra | Bola Voli | KALTIM | 2320070788 |
| 7 | Dwi Hariyanto | Panjat Tebing | KALTIM | 2320070789 |
| 8 | Edita Frascilla | Panjat Tebing | KALTIM | 2320070790 |
| 9 | Ervina Kusnianingsih, S.Pd.Kor | Bola Voli | KALTIM | 2320070791 |
| 10 | Ferry Fadly | Trail Run | KALTIM | 2320070792 |
| 11 | Fredy Andhika | Atletik | KALTIM | 2320070793 |
| 12 | Ilham Wahyudi | Panjat Tebing | KALTIM | 2320070794 |
| 13 | Irawan Hadi Saputra, M. Pd | Sepak bola | KALTIM | 2320070795 |
| 14 | Karyono | Atletik | KALTIM | 2320070796 |
| 15 | Lusdiansyah | DAYUNG | KALTIM | 2320070797 |
| 16 | M Nicky Nur | Panjat tebing | KALTIM | 2320070798 |
| 17 | Maria Paulina Nasution | Panjat Tebing | KALTIM | 2320070799 |
| 18 | Muhammad Abdurrahman | Balap sepeda | KALTIM | 2320070800 |
| 19 | Pariyono | Jujitsu | KALTIM | 2320070801 |
| 20 | Rahel Trimmanuel | Renang | KALTIM | 2320070802 |
| 21 | Resa Resita | Atletik | KALTIM | 2320070803 |
| 22 | Reza Fahlevi, S.Sos | Triathlon | KALTIM | 2320070804 |
| 23 | Rizal Rahma Dani | BolaBasket | KALTIM | 2320070805 |
| 24 | Santoso, S. Pd. | Bolavoli | KALTIM | 2320070806 |
| 25 | Wahono | Panjat Tebing | KALTIM | 2320070807 |
| 26 | Wahono, SE. | Panjat Tebing | KALTIM | 2320070808 |
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