Date | Venue / Stadium | Time | Attendance |
| 15 November 2011 | Antananarivo / Stade Municipal de Mahamasina | 15:50 | 5000 |
Referee Parmendra NUNKOO (MRI) | Assistant Referee 1 Vivian VALLY (MRI) |
Fourth Official Ganesh CHUTOOREE (MRI) | Assistant Referee 2 Jean TELVAR (MRI) |
| a.e.t.: | After extra time | (C): | Captain | PSO: | Penalty Shoot-out |
| GK: | Goalkeeper | N: | Not eligible to play | I: | Injured |
| Y: | Misses next match if booked | Pos: | Positions | A: | Absent |