Ballot results for the candidate by precinct
| Candidate | Siwak Roman |
| Age | 53 |
| Address and endorsements | Gozdnica |
| Number of votes | 54 |
| Result | 3.98% |
| Elected | No |
| Precinct number | Address | Number of votes | % of valid votes* |
|---|---|---|---|
| Precinct no. 1 | Gimnazjum Publiczne, Gozdnica, ul. W.Polskiego 5b | 20 |
4.39% 
|
| Precinct no. 2 | Urząd Miejski, Gozdnica, ul. Świerczewskiego 2 | 9 |
2.08%
|
| Precinct no. 3 | Dom Kultury, Gozdnica, ul. Świerczewskiego 25 | 25 |
5.34%
|