Ballot results for the candidate by precinct
| Candidate | Fornal Anna |
| Age | 68 |
| Address and endorsements | Siennica Różana |
| Constituency no. | 3 |
| Number of votes for the candidate | 0 |
| % of valid votes for the candidate | — |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | Yes |
* - % of votes in the precinct