| NO | NAMA | ASAL | CABOR | NO. PELATIH |
| 1 | ABDUL ROHIM PASARIBU | LAMPUNG | ATLETIK | L2003437 |
| 2 | DEWANGGA YUDHISTIRA | DIY | KARATE | L2003073 |
| 3 | IRFAN | SUTENG | SB | L2003626 |
| 4 | JERRY LOLOWANG, S.KOM | JATENG | BASKET | L2004349 |
| 5 | JOKO LISTYONO | JATIM | KEMPO | L2003647 |
| 6 | MOCHAMAD ILHAM AGUNG P. | JATIM | BT | L2003930 |
| 7 | M. IRWANSYAH ABDHI | KALTENG | SB/BB | L2003932 |
| 8 | RONI ROHENDI | JATENG | SB | L2002956 |
| 9 | SRI WIDYANINGSIH | JABAR | M.BAND | L2003344 |
| 10 | SURYA SWIDINATA, ST | SUMSEL | PS | L2003274 |
| 11 | SUWALDI | LAMPUNG | ATLETIK | L2003439 |
| 12 | TROY MEDICANA | JABAR | SB | L2004375 |
| 13 | ZULKARNAEN, S.OR | DKI /PPFI | ATL & TL | L2004380 |
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