Ballot results for the candidate by precinct
| Candidate | Fornal Czesław Jan |
| Age | 56 |
| Address and endorsements | Samoklęski |
| Constituency no. | 1 |
| Number of votes for the candidate | 71 |
| % of valid votes for the candidate | 15.20% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Osiek Jasielski
| 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 * |
|---|---|---|---|---|---|
| 2 | Dom Ludowy w Samoklęskach | 71 |
15.20% 
|
225 |
31.56%
|