Ballot results for the candidate by precinct
| Candidate | Puto Dorota Maria |
| Age | 41 |
| Address and endorsements | Czempiń |
| Constituency no. | 3 |
| Number of votes for the candidate | 80 |
| % of valid votes for the candidate | 19.46% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Czempiń
| 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 | Szkoła Podstawowa w Czempiniu, ul. Kolejowa 3 | 80 |
19.46% 
|
80 |
100.00%
|