Ballot results for the candidate by precinct
| Candidate | Gembara Jan |
| Age | 66 |
| Address and endorsements | Henryków |
| Constituency no. | 5 |
| Number of votes for the candidate | 124 |
| % of valid votes for the candidate | 9.86% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Ziębice
| 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 * |
|---|---|---|---|---|---|
| 10 | świetlica wiejska w Bożnowicach | 12 |
6.35% 
|
12 |
100.00%
|
| 14 | Szkoła Podstawowa, Henryków, ul. Polna 9 | 58 |
11.58%
|
58 |
100.00%
|
| 15 | budynek przedszkola w Wadachowicach nr 22 | 20 |
8.81%
|
20 |
100.00%
|
| 16 | świetlica wiejska w Krzelkowie, | 32 |
10.70%
|
32 |
100.00%
|
| 20 | Dom Opieki "Caritas", Henryków, Plac Cystersów 4d, | 2 |
4.88%
|
2 |
100.00%
|