Ballot results for the candidate by precinct
| Candidate | Siwak Roman |
| Age | 53 |
| Address and endorsements | Gozdnica |
| Constituency no. | 1 |
| Number of votes for the candidate | 51 |
| % of valid votes for the candidate | 11.64% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
m. Gozdnica
| 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 | Gimnazjum Publiczne, Gozdnica, ul. W.Polskiego 5b | 51 |
11.64% 
|
161 |
31.68%
|