Hard-earned road win for leaders Vasilevo over 1-vi Maj as their promotion rivals Tiverija, Osogovo and Belasica also won.
Astibo – Osogovo 1:4
Plachkovica – AGROS 2:1
Sloga 1934 – Rabotnik Djumajlija 3:3
Belasica – Cheshinovo 2:0
Tiverija – Zrnovka 3:0
1-vi Maj – Vasilevo 2:3
Tri Cheshmi – Trkanja 2:0
Rudar – Malesh 2:1
Karbinci – Sasa 0:2
| Pl. | W | D | L | +/- | P | ||
| Vasilevo | 11 | 10 | 0 | 1 | 34:7 | 30 | play-off |
| Tiverija | 11 | 9 | 1 | 1 | 45:5 | 28 | |
| Osogovo | 11 | 10 | 0 | 1 | 33:5 | 27 | (-3) |
| Belasica | 11 | 8 | 1 | 2 | 34:6 | 25 | |
| Plachkovica | 11 | 5 | 3 | 3 | 30:14 | 18 | |
| Sasa | 11 | 6 | 0 | 5 | 26:17 | 18 | |
| Rudar | 11 | 6 | 0 | 5 | 23:32 | 18 | |
| Cheshinovo | 11 | 5 | 2 | 4 | 23:14 | 17 | |
| Karbinci | 11 | 5 | 1 | 5 | 18:31 | 16 | |
| Rabotnik Djumajlija | 11 | 4 | 3 | 4 | 20:15 | 15 | |
| Tri Cheshmi | 11 | 4 | 2 | 5 | 16:20 | 14 | |
| Sloga 1934 | 11 | 3 | 2 | 6 | 27:42 | 11 | |
| Trkanja | 11 | 3 | 1 | 7 | 12:27 | 10 | |
| AGROS | 11 | 3 | 1 | 7 | 25:42 | 10 | |
| Zrnovka | 11 | 3 | 0 | 8 | 13:30 | 9 | |
| 1-vi Maj | 11 | 2 | 2 | 7 | 16:27 | 8 | relegation |
| Astibo | 11 | 2 | 1 | 8 | 18:50 | 7 | relegation |
| Malesh | 11 | 0 | 2 | 9 | 9:38 | 2 | relegation |
* Osogovo has been deducted 3 points because they fielded an ineligible player in Round 3.