Sport Ancash
| # | Player | A | IN | OUT |
|---|---|---|---|---|
| Luis Estrada GK | 0 | |||
| Alexander Pedro Fajardo Tipacti D | 0 | |||
| Erick Vincenzo Rossi Díaz D | 0 | |||
| Luis Alfredo Chávez Rodríguez D | 0 | |||
| Édgar Emmanuel Blas García D | 0 | |||
| Jeherly Neill Falcón Andagua MF | 0 | |||
| Christopher Juan Charún Cárdenas AT | 0 | |||
| Víctor Alfonso Zamudio Sato AT | 0 | 1 | ||
| Carlos Andrés Renteria Córdova AT | 0 | 1 | ||
| Alejandro José Reyes Muñóz AT | 0 | |||
| Robert Chávez Rodríguez AT | 0 | |||
| Paolo Freddy Maldonado Farje MF | 0 | |||
| Richard Ariam Céspedes León SUB | 0 | 1 | ||
| Clinton Bejarano Nolasco SUB | 0 | 1 | ||
| Totals | 0 | 2 | 2 |
Goal scorers aren't recorded for every goal in this game (0 of 2 attributed).
CD Sport Loreto
| # | Player | A | IN | OUT |
|---|---|---|---|---|
| Diego André Montalvo Basauri SUB | 0 | |||
| Alexander Salas Saldaña D | 0 | 1 | ||
| Walter Abimael Cruz Rojas D | 0 | |||
| José Luis Junior Nuñez Julca MF | 0 | |||
| Guillermo Wilfredo Vernal López MF | 0 | |||
| Kelvin Denis Sánchez Vasquez MF | 0 | |||
| Accel Roberto Campos Segura MF | 0 | |||
| Alexander Luis David Villanueva Pumarica MF | 0 | |||
| Franco Alonso Melgar Vivanco MF | 0 | |||
| Vinicius da Conceição Pinto AT | 0 | 1 | ||
| Ebert Fernando Portella Cruz AT | 0 | |||
| Guillermo Mariano Estéves Salguero | 0 | |||
| Pool Hanss Vidal Ayala SUB | 0 | 1 | ||
| Raphael Arturo Ramírez Palacios SUB | 0 | 1 | ||
| Totals | 0 | 2 | 2 |
Goal scorers aren't recorded for every goal in this game (0 of 2 attributed).