Ballot results for the candidate by precinct
| Candidate | Doliński Zygmunt Ryszard |
| Age | 59 |
| Address and endorsements | Pielgrzymowo |
| Constituency no. | 3 |
| Number of votes for the candidate | 52 |
| % of valid votes for the candidate | 1.95% |
| Number of votes for the list | 477 |
| % of votes for the candidate relating to votes for the list | 10.90% |
| Mandate | No |
gm. Kozłowo
| 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 | Dom Kultury w Kozłowie | 2 |
0.20% 
|
131 |
1.53%
|
| 2 | Szkoła Podstawowa w Zaborowie | 42 |
10.47%
|
153 |
27.45%
|
| 3 | Szkoła Podstawowa w Szkudaju | 1 |
0.46%
|
63 |
1.59%
|
| 4 | Gimnazjum w Szkotowie | 5 |
0.88%
|
56 |
8.93%
|
| 5 | Szkoła Podstawowa w Rogożu | 2 |
0.43%
|
74 |
2.70%
|