Ballot results for the candidate by precinct
| Candidate | Kubowicz Jerzy Adam |
| Age | 43 |
| Address and endorsements | Siemysłów |
| Constituency no. | 4 |
| Number of votes for the candidate | 81 |
| % of valid votes for the candidate | 38.03% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | Yes |
gm. Domaszowice
| 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 * |
|---|---|---|---|---|---|
| 6 | Pomieszczenie po przedszkolu w Siemysłowie | 81 |
38.03% 
|
185 |
43.78%
|