Ballot results for the candidate by precinct
| Candidate | Surma Jacek Jan |
| Age | 41 |
| Address and endorsements | Czarnków |
| Constituency no. | 9 |
| Number of votes for the candidate | 22 |
| % of valid votes for the candidate | 9.57% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
m. Czarnków
| 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 * |
|---|---|---|---|---|---|
| 3 | Miejskie Centrum Kultury, ul.Kościuszki 60, Czarnków | 22 |
9.57% 
|
22 |
100.00%
|