| Number | Athlete Information |
|---|---|
| 1. | #9227 - RR. GAYATRI WIRAMENGGOLO , YASANIS ( SD CIPUTRA KASIH SURABAYA ) |
| 2. | #9228 - SHANALA SHANUM ATRAVIA , YASANIS ( SDN KETABANG 1 SURABAYA ) |
| 3. | #8933 - ELAINE NOVIA SETIONO , ENG AN KIONG WUSHU ( SMPK SANTA MARIA 1 MALANG ) |
| 4. | #5986 - NIKITA ANGELIE HIRMANTO TJAN , WUSHU LIMA BENUA MALANG ( SDK SANTA MARIA 2, MALANG ) |