U. San Martin
| # | Player | A | IN | OUT |
|---|---|---|---|---|
| Diego Alonso Roberto Penny Valdéz SUB | 0 | |||
| Saúl Yonatan Salas Carrillo D | 0 | |||
| José Vidal Bolívar Ormeño D | 0 | |||
| Jefferson Carlos Portales Lavalle D | 0 | |||
| Jonathan Alberto Bilbao Vásquez D | 0 | |||
| Walter Hugo Zevallos Vergaray D | 0 | |||
| Yamir Edhu Oliva Rodríguez MF | 0 | |||
| Mark Jefferson Estrella Tores MF | 0 | |||
| Jordan Marcelo Guivin Tanta MF | 0 | |||
| Jairo Jair Concha Gonzáles MF | 0 | |||
| Marcelo Esteban Olivera AT | 0 | |||
| Carlos Julio Bustos | 0 | |||
| Totals | 0 | 0 | 0 |
Goal scorers aren't recorded for every goal in this game (0 of 1 attributed).
FBC Melgar
| # | Player | A | IN | OUT |
|---|---|---|---|---|
| Carlos Alberto Cáceda Oyaguez SUB | 0 | |||
| Giancarlo Carmona Maldonado D | 0 | |||
| Christian Guillermo Martín Ramos Garagay D | 0 | |||
| John Willian Narváez Arroyo D | 0 | |||
| Edwin Alexi Gómez Gutiérrez D | 0 | 1 | ||
| Leonardo William Mifflin Cabezudo D | 0 | |||
| Joel Melchor Sánchez Alegria MF | 0 | |||
| Ángel Elías Romero Iparraguirre MF | 0 | 1 | ||
| Alexis Arias Tuesta MF | 0 | |||
| Hideyoshi Enrique Arakaki Chinen MF | 0 | |||
| Bernardo Nicolás Cuesta AT | 0 | 1 | ||
| Jorge Remigio Pautasso D | 0 | |||
| Johnny Víctor Vidales Lature SUB | 0 | 1 | ||
| Janio Carlo Pósito Olazábal SUB | 0 | 1 | ||
| Carlos Stéfano Diez Lino SUB | 0 | 1 | ||
| Totals | 0 | 3 | 3 |
Goal scorers aren't recorded for every goal in this game (0 of 3 attributed).