Sport Victoria
| # | Player | MIN | G | A | YC | RC | G1h | G2h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|---|
| Arner Dante Goyoneche Munayco SUB | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Víctor Hugo Cartagena Farfán D | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Joel Víctor Quispe Mayurí D | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Anthony Alexander Morales Balbín D | 79 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Segundo Gianfranco Carrasco Valverde D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| José Adolfo Mendoza Zambrano MF | 23 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | ||
| Daniel Alonso Sánchez Albújar MF | 88 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | ||
| Anderson Denyro Cueto Sánchez MF | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Jorge Alejandro Molina Guzmán MF | 90 | 0 | 0 | 1 | 1 | 0 | 0 | |||
| Giordano Bruno Vásquez Zambón MF | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Gerson André Panduro Alvarado AT | 90 | 1 | 0 | 0 | 0 | 1 | 0 | |||
| Carlos Alfonso Cortijo McCubbin | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Walter Silvestre Cubilla SUB | 67 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Heiner Eduardo Okada Ward SUB | 11 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | ||
| Junior Jesús Casanova Altamirano SUB | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Totals | 1080 | 2 | 0 | 6 | 1 | 1 | 1 | 3 | 3 |
Deportivo Hualgayoc
| # | Player | MIN | G | A | YC | RC | G1h | G2h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|---|
| Alan Juan José Vidaurre Cuyumba GK | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Marcelo José Zamora González D | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| José Adalberto Cuero García D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Josué Alberto Rodríguez Malpartida D | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Camilo César Jiménez Ballón D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Vismar Kelver Caruajulca Carranza D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Malher Tressor Moreno Baldrich MF | 56 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | ||
| Jhonny Alberto Obeso Panduro MF | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Rafael Salvatore Montes Bustamante MF | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Miguel Ángel Curiel Arteaga AT | 80 | 1 | 0 | 1 | 0 | 0 | 1 | 1 | ||
| Alejandro Junior Ramírez Zarate AT | 61 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| José Alberto Soto Gómez D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Alonso Jesús Pinedo Bao SUB | 34 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Miguel Angel Vinces Ugarte SUB | 29 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | ||
| Jimmy Alexander Roca Ontaneda SUB | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Totals | 1080 | 3 | 0 | 4 | 0 | 1 | 2 | 3 | 3 |