| NO | NAMA | ASAL | CABOR | NO. PELATIH |
| 1 | HERMAIYONI | YON IF GALANG | TAEKWONDO | 182002545 |
| 2 | AGRIZEL VAJRIKA | DELI SERDANG | UMUM | 182002546 |
| 3 | SUKRI SILALAHI | MEDAN | UMUM | 182002547 |
| 4 | DUMPANG PARLUHUTAN | BINJAI | ATLETIK | 182002548 |
| 5 | ADE EVRIANSAH LUBIS | SERDANG | SEPAKBOLA | 182002549 |
| 6 | MUHAMMAD ASRUL | MEDAN | RENANG | 182002550 |
| 7 | JUNAIDI | KODAM | SEPAKBOLA | 182002551 |
| 8 | WAHYU SAHPUTRA | MEDAN | PANJAT TEBING | 182002552 |
| 9 | ZUHRI HIMAWAN SIRAIT | MEDAN | PENCAKSILAT | 182002553 |
| 10 | ARI PRARAHMADANU | LANGKAT | TAEKWONDO | 182002554 |
| 11 | YOU PANDRA TARIGAN | MEDAN | SEPAKBOLA | 182002555 |
| 12 | ADI ZULKARNAEN | TAPANULI SEL | ATLETIK | 182002556 |
| 13 | MUHAMMAD REZA DESTYA | MEDAN | SEPAKBOLA | 182002557 |
| 14 | MUHAMMAD TAUFIK. S.PD | LANGKAT | KARATE,MUATHAI | 182002558 |
| 15 | EKO SAPUTRA | MEDAN | SEPAKBOLA | 182002559 |
| 16 | PRETTY SIHITE | TAPTENG | ATLETIK | 182002560 |
| 17 | ARGUBI SILWAN | LABURA SUMUT | FUTSAL | 182002561 |
| 18 | BANGUN SETIA HASIBUAN, S.PD M.OR | MEDAN | TR DERAJAT | 182002562 |
| 19 | JEFFREY AL GHANIY, S.PD | DELI SERDANG | SEPAKBOLA | 182002563 |
| 20 | DR. LA SAWALI, M.KES | KENDARI | TENIS LAP | 182002564 |
| 21 | LAODE ABDUL HAMDAN HAKIM, S.SOS | SULTRA | UMUM | 182002565 |
| 22 | JUMILIANTO, S.PD | KENDARI | SEPAKBOLA | 182002566 |
| 23 | ELVIS BASRI UNO, SE | KENDARI | SEPAKBOLA | 182002567 |
| 24 | ADEK JOHN HEDI NAHULAE | LABUHAN BATU | ATLETIK | 182002568 |
| 25 | DRS. RIDWAN | DAIRI SUMUT | UMUM | 182002569 |
| 26 | PARLINDUNGAN, S.PD | M NATAL | SEPAKBOLA | 182002570 |
| 27 | JUAKKEN GINTING | MEDAN | ATLETIK, TENIS | 182002571 |
| 28 | JANNER SANJAYA | MEDAN | RENANG | 182002572 |
| 29 | FARIDZ RAVSAMJANI | DELI SERDANG | ATLETIK | 182002573 |
| 30 | DR. SYAHRIR S HUTABARAT | MEDAN | TIM MEDIS | 182002574 |
| 31 | BOY INDRAYANA | MEDAN | TAEKWONDO | 182002575 |
| 32 | BISMAR SIBUES | P SIANTAR | TAEKWONDO | 182002576 |
| 33 | HERU CHAKRA LUBIS | MEDAN | TAEKWONDO | 182002577 |
| 34 | SUHAMSYAH SINULINGGA | MEDAN | TAEKWONDO | 182002578 |
| 35 | HASIHOLAN SIMANJUNTAK | CIMAHI JABAR | ATLETIK | 182002579 |
| 36 | TULUS ABDIANSYAH | MEDAN | TAEKWONDO | 182002580 |
| 37 | Dr. INDRA KASIH, S.Pd, M.Or | DELI SERDANG | BOLA VOLLY | 182002581 |
| 38 | FILLI AZANDI | MEDAN | FUTSAL | 182002582 |
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