| 1 | ABEL SCOTT NALVARTE RAMIREZ | 2 | - | 0 | 0 | 0 | 2 | 50.00 | 0.00 | 50.00 | 0 |
| 2 | AGUILAR CANCHARI OSCAR JOAQUIN | 2 | | 0 | 0 | 0 | 1 | 0.00 | 0.00 | 100.00 | 0 |
| 3 | ALEXIS ANDRE BENITES PALACIOS | 2 | - | 2 | 0 | 0 | 3 | 33.33 | 0.00 | 66.67 | 0 |
| 4 | ANGEL HUAYANAY SANCHEZ | 3 | - | 0 | 0 | 0 | 2 | 50.00 | 0.00 | 50.00 | 0 |
| 5 | CARLOS RUBEN DIAZ RAMIREZ | 2 | - | 0 | 0 | 0 | 2 | 0.00 | 0.00 | 100.00 | 0 |
| 6 | CESAR FRANCISCO MEDINA MARTINEZ | 2 | - | 3 | 0 | 0 | 3 | 33.33 | 0.00 | 66.67 | 0 |
| 7 | DAVID GIANCARLO HUANAY TARAZONA | 2 | - | 0 | 0 | 0 | 0 | 0.00 | 0.00 | 0.00 | 0 |
| 8 | DAVID JESUS REY JAIMES | 3 | - | 0 | 0 | 0 | 2 | 0.00 | 0.00 | 100.00 | 0 |
| 9 | FREDDY JEAN PIERRE CARHUAMACA PORRAS | 2 | - | 2 | 0 | 0 | 2 | 50.00 | 0.00 | 50.00 | 0 |
| 10 | GUSTAVO SAMUEL LLANOS RIVERA | 2 | - | 0 | 0 | 0 | 2 | 50.00 | 0.00 | 50.00 | 0 |
| 11 | HENRY JHON INGA SUAREZ | 2 | - | 0 | 0 | 0 | 0 | 0.00 | 0.00 | 0.00 | 0 |
| 12 | MARIO BERNARDO LUJAN BENAVIDES | 2 | - | 0 | 0 | 0 | 2 | 50.00 | 0.00 | 50.00 | 0 |
| 13 | MIGUEL ANGEL HUAMANI HUAMAN | 2 | - | 0 | 0 | 0 | 0 | 0.00 | 0.00 | 0.00 | 0 |
| 14 | NEFTALI GEDEONI QUISPE CABALLON | 2 | - | 0 | 0 | 0 | 3 | 33.33 | 0.00 | 66.67 | 0 |
| 15 | OSCAR FIDEL NOLASCO CORPUS | 3 | NO APTO | 0 | 0 | 0 | 0 | 0.00 | 0.00 | 0.00 | 0 |
| 16 | RODOLFO MARTIN MANRIQUE SANDOVAL | 2 | - | 0 | 0 | 0 | 3 | 33.33 | 0.00 | 66.67 | 0 |
| 17 | WILMER CESAR CAISAHUANA ALMONACID | 2 | - | 0 | 0 | 0 | 0 | 0.00 | 0.00 | 0.00 | 0 |