| No | Nama Lengkap | Cabang Olahraga | Asal Provinsi | No. LANKOR |
| 1 | Abdul Fattah Zaidan | Atletik | SUMUT | 24009152 |
| 2 | Aditya Prayutama, S.Pd. | Futsal | SUMUT | 24009153 |
| 3 | Alfian Dwi Fandy Telaumbanua | Bulutangkis | SUMUT | 24009154 |
| 4 | Amalia Rahmadani | Tinju | SUMUT | 24009155 |
| 5 | Andrian Samuel Aritonang | Hoki | SUMUT | 24009156 |
| 6 | Anjelina Novianti Pasaribu | Gulat | SUMUT | 24009157 |
| 7 | Annisa Aulia | Bola Voli | SUMUT | 24009158 |
| 8 | Ariq Hawari Daulay, S.Pd. | Atletik | SUMUT | 24009159 |
| 9 | Arta Uli Munthe | Karate | SUMUT | 24009160 |
| 10 | Asido Simbolon | Atletik | SUMUT | 24009161 |
| 11 | Berlin Julius Marolop Napitupulu | Sepakbola | SUMUT | 24009162 |
| 12 | Busan Muhammad Rifki Inzaghi Sitorus Pane | Panjat Tebing | SUMUT | 24009163 |
| 13 | Cahaya Marida Siregar | Bola Voli | SUMUT | 24009164 |
| 14 | Dedi Situmorang | Sepakbola | SUMUT | 24009165 |
| 15 | Deni Ashari | Bola Voli | SUMUT | 24009166 |
| 16 | Denny Rinaldi | Karate | SUMUT | 24009167 |
| 17 | Desni Anggreny Sitohang | Angkat Berat | SUMUT | 24009168 |
| 18 | Dina Nurhidayah | Atletik | SUMUT | 24009169 |
| 19 | Ester Junianti F. Harianja | Bola Voli | SUMUT | 24009170 |
| 20 | Febrianto Sianturi | Atletik | SUMUT | 24009171 |
| 21 | Hamdani Utomo Saragih | Gateball | SUMUT | 24009172 |
| 22 | Jidan C. Sibuea, S.Pd. | Sepakbola | SUMUT | 24009173 |
| 23 | Jodi Volkert Sidabutar, S.Pd. | Sepakbola | SUMUT | 24009174 |
| 24 | Joel Matheus Dior Panggabean | Sepakbola | SUMUT | 24009175 |
| 25 | Joel Pasaribu, S.Pd. | Karate | SUMUT | 24009176 |
| 26 | Khairul Azan Tanjung S.Pd. | Gateball | SUMUT | 24009177 |
| 27 | Luthfi Muharram Tanjung, S.Pd. | Futsal | SUMUT | 24009178 |
| 28 | M. Ridho Akmal Lubis, S.Pd. | Atletik | SUMUT | 24009179 |
| 29 | Masro Saputra Purba | Pencak Silat | SUMUT | 24009180 |
| 30 | Misseri Kordias Domini Lubis | Atletik | SUMUT | 24009181 |
| 31 | Muhammad Budi Siahaan, S.Pd. | Sepakbola | SUMUT | 24009182 |
| 32 | Muhammad Hasan | Futsal | SUMUT | 24009183 |
| 33 | Muhammad Malikurrahman | Sepakbola | SUMUT | 24009184 |
| 34 | Noel Arborea Bangun | Bola Basket | SUMUT | 24009185 |
| 35 | Putri Rahmadani Lubis | Pencak Silat | SUMUT | 24009186 |
| 36 | Rahmat Mulatua Silaban | Atletik | SUMUT | 24009187 |
| 37 | Ridho Perdaman Lafau | Futsal | SUMUT | 24009188 |
| 38 | Risky D. H. Nababan, S.Pd. | Futsal | SUMUT | 24009189 |
| 39 | Roni Wijaya Saragih | Taekwondo | SUMUT | 24009190 |
| 40 | Siti Fahwiza | Gateball | SUMUT | 24009191 |
| 41 | Stefanus Tarigan | Karate | SUMUT | 24009192 |
| 42 | Tadeus Twu Mei Albertson Gori | Bulutangkis | SUMUT | 24009193 |
| 43 | Tiara Marsaulina Munthe | Karate | SUMUT | 24009194 |
| 44 | Trisjoy Ginting | Renang | SUMUT | 24009195 |
| 45 | Tuah Iwan Ramadan | Pencak Silat | SUMUT | 24009196 |
| 46 | Ursulla Duti Oktria Simamora | Wushu | SUMUT | 24009197 |
| 47 | Willy Owen Nicholas Sihombing | Futsal | SUMUT | 24009198 |
| 48 | Yeni Riananda Br Bangun | Bola Voli | SUMUT | 24009199 |
| 49 | Yogi Suadi Putra Hutabarat | Sepakbola | SUMUT | 24009200 |
| 50 | Yudi Kurniawan | Gateball | SUMUT | 24009201 |
