SM
| Venue: Estadio Inca Garcilaso de la Vega |
Deportivo Garcilaso | ||
| G | 1 | Diego Alonso Roberto Penny Valdéz |
| D | 2 | Héctor Aldair Salazar Tejada |
| D | 24 | Anthony Manuel Alberto Gordillo Vásquez |
| D | 22 | Erick Alfredo Canales Colunga |
| M | 16 | Carlos Javier Beltrán Neroni |
| M | 10 | Luis Andrés Chicaiza Morales |
| M | 20 | Diego Antonio Ramírez Cutti |
| M | 14 | Carlos Stéfano Diez Lino |
| A | 9 | Adrián Martín Ugarriza Tello |
| A | 11 | Gaspar Gentile |
| A | 32 | Pablo Agustín Erustes |
Cuiaba | ||
| G | 1 | Walter Leandro Capeloza Artune |
| D | 4 | Marllon Gonçalves Jerônimo Borges |
| D | 3 | Allyson Aires dos Santos |
| D | 2 | Matheus Alexandre Anastácio de Souza |
| D | 44 | Gabriel Knesowitsch |
| M | 18 | Lucas Fernandes da Silva |
| M | 27 | Denilson Alves Borges |
| M | 20 | Rikelme Hernandes Amorim Rocha |
| A | 97 | André Luis da Costa Alfredo |
| A | 22 | Derik Gean Severino Lacerda |
| A | 19 | L. Giménez Alanda |
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