Ballot results for the candidate by precinct
| Candidate | Mikoś Tadeusz Józef |
| Age | 65 |
| Address and endorsements | Roztocznik |
| Constituency no. | 4 |
| Number of votes for the candidate | 180 |
| % of valid votes for the candidate | 39.47% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | Yes |
gm. Dzierżoniów
| 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 * |
|---|---|---|---|---|---|
| 4 | Przedszkole Gminne, Dobrocin ul. Kościuszki 22 | 13 |
5.12% 
|
13 |
100.00%
|
| 10 | Wiejski Ośrodek Kultury, Roztocznik 41a | 167 |
82.67%
|
167 |
100.00%
|