Sport Ancash
| # | Player | MIN | G | A | YC | RC | G1h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|
| Marcos Augusto Rojas López SUB | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Emilio Andrés Gutiérrez Sáenz D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Aldair Francesco Jiménez Palomino D | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Édgar Emmanuel Blas García D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Richard Gerardo Soriano Mosquera D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Anthony Jair Vega Flores D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Jordan Michel López Melgarejo D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Einer Vásquez Rengifo MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Ademar Guillermo Alder Robles Zevallos MF | 50 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Christopher Juan Charún Cárdenas AT | 63 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Andrés Riascos Benítez AT | 67 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Celestino Huaranga | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Alejandro Guerrero Narváez | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Ronald Jesús Vila Lozada SUB | 40 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Carlos Enrique Velarde Gelssi SUB | 27 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Víctor Alfonso Zamudio Sato SUB | 23 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Totals | 1170 | 0 | 0 | 1 | 0 | 0 | 3 | 3 |
Deportivo Hualgayoc
| # | Player | MIN | G | A | YC | RC | G1h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|
| Leonardo Martín Rodríguez Widdup SUB | 90 | 0 | 0 | 0 | 0 | 0 | |||
| José Juan Zamora González D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Marcelo José Zamora González D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| José Adalberto Cuero García D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Josué Alberto Rodríguez Malpartida D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Miguel Angel Vinces Ugarte D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Vismar Kelver Caruajulca Carranza D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Jhonny Alberto Obeso Panduro MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| César Augusto Zambrano Kcachainca MF | 90 | 1 | 0 | 0 | 0 | 1 | |||
| Rafael Salvatore Montes Bustamante MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Renzo Emerson Benavides Reyna AT | 85 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| José Alberto Soto Gómez D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Jimmy Alexander Roca Ontaneda SUB | 5 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Totals | 1080 | 1 | 0 | 0 | 0 | 1 | 1 | 1 |
Goal scorers aren't recorded for every goal in this game (1 of 2 attributed).