Universidad San Martín | 1 Leao Butrón | T | 14 Josemir Aarón Ballón | M | |
| 12 Marcos Cristian Flores | T | 18 Fernando Del Solar | M | |
| 21 Ricardo Daniel Farro | T | 19 Carlos Fernández | M | |
| 2 Jorge Raúl Huamán | V | 22 Gonzalo Ludueña | M | |
| 3 Christian Ramos | V | 23 Ronald Quinteros | M | |
| 4 Jorge Enrique Reyes | V | 24 Luis García | M | |
| 5 Adán Alonso Balbín | V | 25 Víctor Wilmer Carrillo | M | |
| 7 Aurelio Saco-Vértiz | V | 9 Martín Enrique Arzuaga | S | |
| 13 Atilio Muente | V | 11 Carlos Pérez | S | |
| 15 Guillermo Guizasola | V | 16 Pedro García | S | |
| 20 Guillermo Salas | V | 17 Orlando Antonio Allende | S | |
| 6 John Hinostroza | M | 23 Roberto Enrique Silva | S | |
| 8 Cristián Cueva | M | - Víctor Rivera | Tr | |
| 10 José Luis Díaz | M |
| Spieler | Tore | Elfmeter | ||
|---|---|---|---|---|
 | M. Arzuaga Universidad San Martín | S | 3 | 0 |
 | P. García Universidad San Martín | M | 2 | 0 |
 | G. Ludueña Universidad San Martín | M | 2 | 0 |
 | J. Díaz Universidad San Martín | M | 1 | 1 |
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