Ballot results for the candidate by precinct
| Candidate | Sipak Jan |
| Age | 52 |
| Address and endorsements | Golub-Dobrzyń |
| Constituency no. | 5 |
| Number of votes for the candidate | 84 |
| % of valid votes for the candidate | 7.36% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
m. Golub-Dobrzyń
| 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 * |
|---|---|---|---|---|---|
| 5 | Szkoła Podstawowa Nr 2, Golub-Dobrzyń ul. Żeromskiego 11 | 58 |
8.80% 
|
233 |
24.89%
|
| 6 | Szkoła Podstawowa Nr 2, Golub-Dobrzyń ul. Żeromskiego 11 | 26 |
5.38%
|
115 |
22.61%
|