Ballot results for the candidate by precinct
| Candidate | Giefert Roman |
| Age | 44 |
| Address and endorsements | Ustrzyki Dolne |
| Constituency no. | 5 |
| Number of votes for the candidate | 93 |
| % of valid votes for the candidate | 20.13% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Ustrzyki Dolne
| 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 * |
|---|---|---|---|---|---|
| 8 | Szkoła Podstawowa w Ustjanowej Górnej | 70 |
25.64% 
|
70 |
100.00%
|
| 9 | Szkoła Podstawowa w Równi | 23 |
12.17%
|
23 |
100.00%
|