Ballot results for the candidate by precinct
| Candidate | Doktor Jan |
| Age | 59 |
| Address and endorsements | Trzebień |
| Constituency no. | 3 |
| Number of votes for the candidate | 70 |
| % of valid votes for the candidate | 0.86% |
| Number of votes for the list | 152 |
| % of votes for the candidate relating to votes for the list | 46.05% |
| Mandate | No |
gm. Bolesławiec
| No. | Address | Number of votes | % of valid votes* | Number of votes for the list | % of votes for the candidate relating to votes for the list * |
|---|---|---|---|---|---|
| 1 | Sala Zebrań, Suszki 45a | 0 | — | 2 |
0.00% 
|
| 2 | Dom Ludowy, Otok 44 | 0 | — | 4 |
0.00%
|
| 3 | Szkoła Podstawowa, Brzeźnik 67 | 0 | — | 0 | — |
| 4 | Szkoła Podstawowa, Dąbrowa Bolesławiecka 43 | 0 | — | 12 |
0.00%
|
| 5 | Szkoła Podstawowa, Trzebień ul.Leśna 9 | 64 |
19.28%
|
65 |
98.46%
|
| 6 | Szkoła Podstawowa, Kraśnik Dolny 47 | 0 | — | 3 |
0.00%
|
| 7 | Dom Ludowy, Kruszyn ul. Główna 8 | 0 | — | 1 |
0.00%
|
| 8 | Szkoła Podstawowa, Ocice 55 | 0 | — | 0 | — |
| 9 | Szkoła Podstawowa, Żeliszów 102 | 0 | — | 27 |
0.00%
|
gm. Gromadka
| No. | Address | Number of votes | % of valid votes* | Number of votes for the list | % of votes for the candidate relating to votes for the list * |
|---|---|---|---|---|---|
| 1 | Gminny Ośrodek Kultury i Sportu w Gromadce ul.Szkolna 9 | 0 | — | 13 |
0.00%
|
| 2 | Szkoła Podstawowa w Wierzbowej | 0 | — | 1 |
0.00%
|
| 3 | Szkoła Podstawowa w Różyńcu | 1 |
0.19%
|
13 |
7.69%
|
| 4 | Szkoła Podstawowa w Modłej | 0 | — | 0 | — |
gm. Warta Bolesławiecka
| No. | Address | Number of votes | % of valid votes* | Number of votes for the list | % of votes for the candidate relating to votes for the list * |
|---|---|---|---|---|---|
| 1 | Budynek Urzędu Gminy w Warcie Bolesławieckiej | 0 | — | 1 |
0.00%
|
| 2 | Dom Kultury w Tomaszowie Bolesławieckim | 2 |
0.28%
|
2 |
100.00%
|
| 3 | Świetlica Wiejska w Raciborowicach Górnych | 2 |
0.26%
|
6 |
33.33%
|
| 4 | Budynek Zespołu Szkolno-Przedszkolnego w Iwinach | 1 |
0.19%
|
2 |
50.00%
|