Ballot results for the candidate by precinct
| Candidate | Kasprzak Jerzy Wojciech |
| Age | 61 |
| Address and endorsements | Czerminek |
| Constituency no. | 1 |
| Number of votes for the candidate | 21 |
| % of valid votes for the candidate | 11.05% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Gołuchów
| 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 | Urząd Gminy w Gołuchowie ul. Lipowa 1 | 17 |
18.09% 
|
17 |
100.00%
|
| 6 | Szkoła Podstawowa w Kucharkach | 4 |
4.17%
|
4 |
100.00%
|