Ballot results for the candidate by precinct
| Candidate | Czech Witold Franciszek |
| Age | 58 |
| Address and endorsements | Szamocin |
| Constituency no. | 3 |
| Number of votes for the candidate | 526 |
| % of valid votes for the candidate | 20.05% |
| Number of votes for the list | 1039 |
| % of votes for the candidate relating to votes for the list | 50.63% |
| Mandate | Yes |
gm. Szamocin
| 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 | Szamociński Ośrodek Kultury, Szamocin ul. Plac Wolności 10 | 183 |
23.46% 
|
315 |
58.10%
|
| 2 | Zespół Szkół w Szamocinie, ul. 19 Stycznia 29 | 175 |
19.73%
|
387 |
45.22%
|
| 3 | Zespół Szkół w Lipiej Górze, Lipia Góra 64 | 73 |
16.22%
|
152 |
48.03%
|
| 4 | Budynek gminny w Józefowicach, Józefowice 38 | 18 |
12.59%
|
38 |
47.37%
|
| 5 | Ośrodek Szkolenia i Wychowania OHP w Szamocinie, ul. Szkolna 11 | 77 |
21.21%
|
147 |
52.38%
|