Ballot results for the candidate by precinct
| Candidate | Doerffer-Jambor Róża |
| Age | 54 |
| Address and endorsements | Klęka |
| Constituency no. | 2 |
| Number of votes for the candidate | 197 |
| % of valid votes for the candidate | 7.64% |
| Number of votes for the list | 412 |
| % of votes for the candidate relating to votes for the list | 47.82% |
| Mandate | Yes |
gm. Nowe Miasto nad Wartą
| 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 | Szkoła Podstawowa, Boguszyn ul. Śremska 35 | 5 |
0.97% 
|
17 |
29.41%
|
| 2 | Szkoła Podstawowa, Klęka | 129 |
26.01%
|
184 |
70.11%
|
| 3 | Szkoła Podstawowa, Kolniczki | 0 | — | 4 |
0.00%
|
| 4 | Gimnazjum, ul. Szkolna 2, Nowe Miasto nad Wartą | 49 |
7.70%
|
175 |
28.00%
|
| 5 | Gimnazjum, ul. Śremska 30, Chocicza | 14 |
3.12%
|
32 |
43.75%
|