| No | Nama Lengkap | Cabang Olahraga | Asal Provinsi | No. LANKOR |
| 1 | ADITIA PRANATA SEMBIRING | Karate | SUMUT | 2520010105 |
| 2 | ALBERT SOMASI HAREFA | Tenis Lapangan | SUMUT | 2520010106 |
| 3 | ALDI GUNAWAN | Sepak Takraw | SUMUT | 2520010107 |
| 4 | ALVARO ALEXANDER SEMBIRING MELIALA | Renang | SUMUT | 2520010108 |
| 5 | ANDRE WIJAYA SIMANULLANG | Tenis Lapangan | SUMUT | 2520010109 |
| 6 | ANDRIANO VIKI HUTAURUK | Atletik | SUMUT | 2520010110 |
| 7 | APRILIA SARI SIRAIT | Atletik | SUMUT | 2520010111 |
| 8 | BENITO MARTUA LUMBAN TOBING | Atletik | SUMUT | 2520010112 |
| 9 | BREVENSIUS GRAZIOS SIRUMAPEA | Atletik | SUMUT | 2520010113 |
| 10 | DAUD FELIX SIRINGORINGO | Atletik | SUMUT | 2520010114 |
| 11 | DELLA ARBHI AGUSTIN | Senam | SUMUT | 2520010115 |
| 12 | DERIL IRWANSYAH | Sepakbola | SUMUT | 2520010116 |
| 13 | DIKO WANTRI LUMBAN GAOL | Atletik | SUMUT | 2520010117 |
| 14 | DILLA TRI AYU SUKMA NINGSIH | Sepak Takraw | SUMUT | 2520010118 |
| 15 | DION PRATAMA MANIHURUK | Atletik | SUMUT | 2520010119 |
| 16 | DITA PUSPITA | Sepak Takraw | SUMUT | 2520010120 |
| 17 | EDWIN TARIGAN | Taekwondo | SUMUT | 2520010121 |
| 18 | ELA FOUR INDAH | Senam | SUMUT | 2520010122 |
| 19 | ELISA ROSLIN | Senam | SUMUT | 2520010123 |
| 20 | ELIZABETH TENNY LUMBAN GAOL | Senam | SUMUT | 2520010124 |
| 21 | ELYA IGNASIA PURBA | Karate | SUMUT | 2520010125 |
| 22 | FACHRI ANANDA | Sepakbola | SUMUT | 2520010126 |
| 23 | FEBY VALENTINE PURBA | Senam | SUMUT | 2520010127 |
| 24 | FRIYA RIZKA SIREGAR | Hoki | SUMUT | 2520010128 |
| 25 | HASANUL ARIFIN | Pencak Silat | SUMUT | 2520010129 |
| 26 | IMMANUEL AGAVE MANIK | Renang | SUMUT | 2520010130 |
| 27 | INDRA PIPIN SIREGAR | Atletik | SUMUT | 2520010131 |
| 28 | JANUWARD DAVID ANPRIANTO.S | Sepakbola | SUMUT | 2520010132 |
| 29 | JEMYMA RONARI SINAGA | Bola Voli | SUMUT | 2520010133 |
| 30 | JERRY VALENTINO PARDEDE | Sepakbola | SUMUT | 2520010134 |
| 31 | JONA GOMOS ZEPANYA PURBA | Sepakbola | SUMUT | 2520010135 |
| 32 | JOY JOSUA HUTAGALUNG | Hoki | SUMUT | 2520010136 |
| 33 | JP KUMALA | Sepak Takraw | SUMUT | 2520010137 |
| 34 | LEO AGUSTIANUS SIHALOHO | Sepakbola | SUMUT | 2520010138 |
| 35 | LEONARDO LUMBANTOBING | Hoki | SUMUT | 2520010139 |
| 36 | LIQUITHA PERMATA BR GINTING | Senam | SUMUT | 2520010140 |
| 37 | MAJU PRIMA SIGALINGGING | Karate | SUMUT | 2520010141 |
| 38 | MUHAMMAD AZZAM | Tenis Lapangan | SUMUT | 2520010142 |
| 39 | NICOLAS | Tenis Lapangan | SUMUT | 2520010143 |
| 40 | RESTU FADILAH SIREGAR | Atletik | SUMUT | 2520010144 |
| 41 | REZA KURNIAWAN SAPUTRA SIREGAR | Sepakbola | SUMUT | 2520010145 |
| 42 | RINDU DAMERIA PURBA | Sepakbola | SUMUT | 2520010146 |
| 43 | RONAL RAJAGUKGUK | Sepakbola | SUMUT | 2520010147 |
| 44 | RYEZA AARON NAIPOSPOS | Atletik | SUMUT | 2520010148 |
| 45 | SARNIDA SIMBOLON | Atletik | SUMUT | 2520010149 |
| 46 | SATRIA EFTOPIA MS | Karate | SUMUT | 2520010150 |
| 47 | SEVEN DAHLIA PARDEDE | Senam | SUMUT | 2520010151 |
| 48 | TUAHTA MARIO EKA PUTRA PURBA | Sepakbola | SUMUT | 2520010152 |
| 49 | UCI TAMALA | Sepakbola | SUMUT | 2520010153 |
| 50 | WARDHATUL JANNAH, S.PD. | Gateball | SUMUT | 2520010154 |
| 51 | WIBISONO SURYA AZWAN | Panahan | SUMUT | 2520010155 |
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