Date | Time | Venue / Stadium | Attendance |
| 14 November 2009 | 15:30 | Lome / Stade de Kegue | 10000 |
Referee Rajindraparsad SEECHURN (MRI) | Assistant Referee 1 Balkrishna BOOTUN (MRI) | |
Fourth Official Parmendra NUNKOO (MRI) | Assistant Referee 2 Vivian VALLY (MRI) | |
| a.e.t.: | After extra time | (C): | Captain | PSO: | Penalty Shoot-out |
| GK: | Goalkeeper | N: | Not eligible to play | I: | Injured |
| Y: | Yellow cards | Pos: | Positions | A: | Absent |
