Ballot results for the candidate by precinct
| Candidate | Surma Jan |
| Age | 57 |
| Address and endorsements | Nisko |
| Constituency no. | 1 |
| Number of votes for the candidate | 52 |
| % of valid votes for the candidate | 2.97% |
| Number of votes for the list | 221 |
| % of votes for the candidate relating to votes for the list | 23.53% |
| Mandate | No |
gm. Nisko
| 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 | Gimnazjum Nr 1, Nisko ul. Szopena | 34 |
4.58% 
|
145 |
23.45%
|
| 2 | Szkoła Podstawowa Nr 1, Nisko ul. Słowackiego | 18 |
1.83%
|
76 |
23.68%
|
| 12 | Szpital Nisko | 0 | — | 0 | — |