Walter Ormeno
| # | Player | MIN | G | A | YC | RC | G1h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|
| Félix Jorge Lira Ubidia GK | 90 | 0 | 0 | 0 | 0 | 0 | |||
| José Carlos Sigueñas Morocho D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Walter William Andrade Zevallos D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Denny Beker Curay Blanco D | 75 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Ítalo Pareja MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Danter Espinoza MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Elthon Pool Espinoza Espinoza MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Jorge Joyce Leopoldo Conde Chigne AT | 46 | 1 | 0 | 0 | 0 | 1 | 1 | ||
| Giuliano Gamarra AT | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Anderson Francisco da Cunha Mineiro AT | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Pedro Christian Bautista Zulueta AT | 74 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Noams Oyola Díaz SUB | 44 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Juan Carlos Colchado Alejos SUB | 16 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Alexis Horna Brown SUB | 15 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Totals | 990 | 1 | 0 | 0 | 0 | 1 | 3 | 3 |
Goal scorers aren't recorded for every goal in this game (1 of 2 attributed).
Sport Ancash
| # | Player | MIN | G | A | YC | RC | G1h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|
| Juan Carlos Mosquera Pérez SUB | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Víctor Hugo Cartagena Farfán D | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Jairo Junior Cárdenas Valera D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Miller Basilio D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Erick Edgardo Coavoy De la Cruz MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Lionel Josimar Alguedas De la Cruz MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Jordan Ccapacca García MF | 76 | 0 | 0 | 1 | 0 | 0 | 1 | ||
| Carlos Alberto Garcia Hernández MF | 90 | 1 | 0 | 0 | 0 | 0 | |||
| Neil James Roca Valverde MF | 32 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Leonardo Mina Polo AT | 50 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Joao de Jesús Villamarín Antúnez AT | 90 | 1 | 0 | 0 | 0 | 1 | |||
| Juan Antonio Carrillo Barbadillo SUB | 58 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Edson Javier Chuchón Marquez SUB | 40 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Jerson Andrés Alguedas Román SUB | 14 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Totals | 990 | 2 | 0 | 3 | 0 | 1 | 3 | 3 |