In the first round, 42 teams were paired 2-by-2 and played knockout matches home-and-away. The 21 winners would advance to the second round where they would meet the other 9 teams that qualify directly to the second round. Those teams are the 5 teams that qualified for the 2002 World Cup Finals (Cameroon, Nigeria, Senegal, South Africa and Tunisia) and the 4 highest-ranking teams in FIFA world rankings of 25 June 2003 (Congo DR, Ivory Coast, Egypt and Morocco).
| Team 1 | Agg. | Team 2 | 1st leg | 2nd leg |
|---|---|---|---|---|
Guinea-Bissau  | 1–4 |  Mali | 1–2 | 0–2 |
Madagascar  | 3–4 |  Benin | 1–1 | 2–3 |
Seychelles  | 1–5 |  Zambia | 0–4 | 1–1 |
Botswana  | 4–1 |  Lesotho | 4–1 | 0–0 |
Equatorial Guinea  | 1–2 |  Togo | 1–0 | 0–2 |
São Tomé and Príncipe  | 0–9 |  Libya | 0–1 | 0–8 |
Tanzania  | 0–3 |  Kenya | 0–0 | 0–3 |
Niger  | 0–7 |  Algeria | 0–1 | 0–6 |
Uganda  | 4–3 |  Mauritius | 3–0 | 1–3 (a.e.t.) |
Sudan  | 3–0 |  Eritrea | 3–0 | 0–0 |
Zimbabwe  | 4–2 |  Mauritania | 3–0 | 1–2 |
Swaziland  | 1–4 |  Cape Verde | 1–1 | 0–3 |
Burundi  | 1–4 |  Gabon | 0–0 | 1–4 |
Chad  | 3–3(a) |  Angola | 3–1 | 0–2 |
Congo  | 2–1 |  Sierra Leone | 1–0 | 1–1 |
Ethiopia  | 1–3 |  Malawi | 1–3 | 0–0 |
Rwanda  | 4–1 |  Namibia | 3–0 | 1–1 |
Guinea  | 5–3 |  Mozambique | 1–0 | 4–3 |
Gambia  | 2–3 |  Liberia | 2–0 | 0–3 |
Somalia  | 0–7 |  Ghana | 0–5 | 0–2 |
Burkina Faso  | w/o |  Central African Republic |
Mali won 4–1 on aggregate and advanced to the second round.
| Madagascar | 1–1 | Benin |
|---|---|---|
Edmond  28' | Report | Adjamossi 74' |
| Benin | 3–2 | Madagascar |
|---|---|---|
| Tchomogo 33' (pen.), 62', 90+2' | Report | Radonamahafalison 15' Rakotondramanana 23' |
Benin won 4–3 on aggregate and advanced to the second round.
| Zambia | 1–1 | Seychelles |
|---|---|---|
| Milanzi 7' | Report | Suzette 69' |
Zambia won 5–1 on aggregate and advanced to the second round.
Botswana won 4–1 on aggregate and advanced to the second round.
| Equatorial Guinea | 1–0 | Togo |
|---|---|---|
| Barila 25' (pen.) | Report |
| Togo | 2–0 | Equatorial Guinea |
|---|---|---|
| Adebayor 43' Salifou 53' | Report |
Togo won 2–1 on aggregate and advanced to the second round.
| São Tomé and Príncipe | 0–1 | Libya |
|---|---|---|
| Report | El Masli 85' |
| Libya | 8–0 | São Tomé and Príncipe |
|---|---|---|
| El Masli 8', 17', 20' El Taib 45', 63'Suliman 54'Osman 74'El Rabty 88' | Report |
Libya won 9–0 on aggregate and advanced to the second round.
Kenya won 3–0 on aggregate and advanced to the second round.
Algeria won 7–0 on aggregate and advanced to the second round.
Uganda won 4–3 on aggregate and advanced to the second round.
| Sudan | 3–0 | Eritrea |
|---|---|---|
| Tambal 10' Haitham Elrasheed 30'Mujahid Ahmed 77' | Report |
Sudan won 3–0 on aggregate and advanced to the second round.
Zimbabwe won 4–2 on aggregate and advanced to the second round.
| Swaziland | 1–1 | Cape Verde |
|---|---|---|
| Dlamini 64' | Report | Morais 55' |
| Cape Verde | 3–0 | Swaziland |
|---|---|---|
| Cafú 51', 65' Morais 90' | Report |
Cape Verde won 4–1 on aggregate and advanced to the second round.
Gabon won 4–1 on aggregate and advanced to the second round.
| Chad | 3–1 | Angola |
|---|---|---|
| Oumar 53', 74', 83' | Report | Bruno Mauro 49' |
| Angola | 2–0 | Chad |
|---|---|---|
| Akwá 42' Bruno Mauro 57' | Report |
3–3 on aggregate; Angola won on the away goals rule and advanced to the second round.
| Congo | 1–0 | Sierra Leone |
|---|---|---|
| Mvoubi 89' (pen.) | Report |
| Sierra Leone | 1–1 | Congo |
|---|---|---|
| Koroma 58' | Report | Guié-Mien 67' |
Congo won 2–1 on aggregate and advanced to the second round.
Malawi won 3–1 on aggregate and advanced to the second round.
Rwanda won 4–1 on aggregate and advanced to the second round.
| Guinea | 1–0 | Mozambique |
|---|---|---|
| Bangoura 70' | Report |
Guinea won 5–3 on aggregate and advanced to the second round.
| Liberia | 3–0 | Gambia |
|---|---|---|
| Roberts 10' Isaac Tondo 76', 83' | Report |
Liberia won 3–2 on aggregate and advanced to the second round.
Ghana won 7–0 on aggregate and advanced to the second round.
Central African Republic withdrew. Burkina Faso advanced to the second round.
There were 109 goals scored in 40 matches, for an average of 2.73 goals per match.
4 goals
3 goals
2 goals
1 goal
Akwá Anicet Adjamossi Nelson Gabolwelwe Tshepiso Molwantwa Gabriel Nzeyimana Rolf-Christel Guié-Mien Mbiamcie Mvoubi Sergio Barila Teshome Getu Shiva N'zigou Abdou-Rahman Njie Edrissa Sonko Lawrence Adjei Stephen Appiah Asamoah Gyan Souleymane Youla Dionisio Fernandes Moses Ramafole Zizi Roberts Mohamed El Rabty Ahmed Saad Osman Marei Suliman Mike Okoth Origi Robert Edmond J. Radonamahafalison A. Rakotondramanana Peter Mgangira Seydou Keita Djibril Sidibé Yohan Langlet Ahmed Sidibe Jerry Louis Cyril Mourgine Richardo Nabuth Paulus Shipanga Joao Rafael Elias Olivier Karekezi Robert Suzette Ibrahim Koroma Mujahid Ahmed Haitham Elrasheed Haytham Tambal Siz Dlamini Emmanuel Adebayor Moustapha Salifou Assani Bajope Hassan Mubiru Dadley Fichite Gift Kampamba Mumamba Numba George Mbwando Adam Ndlovu Peter Ndlovu Kaitano Tembo 1 own goal
Rajabu Mwinyi (against Gabon)
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