 
| gm. Tuplice, Precinct no. 1, Constituency no. 4 | |
| Council name | Rada Gminy Tuplice | 
| Constituency | Constituency no. 4 | 
| Precinct | Precinct no. 1 | 
| Electoral Commission Regional Headquarters | Szkoła Podstawowa ul.Daszyńskiego 1,Tuplice | 
| Number of electors | 226 | 
| Number of dispensed ballot cards | 121 | 
| Number of valid ballot cards | 121 | 
| Number of votes valid | 118 | 
| Number of votes invalid | 3 | 
| Number of dispensed ballot cards for plenipotentiaries | 0 | 
| Protocol date | 22-11-2010 05:01 | 
| List no. 12 - KOMITET WYBORCZY WYBORCÓW ZBIGNIEWA KRZYSZTOFA SIKORSKIEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Zalwert Adam Piotr | 37 | 31,36% | |
| List no. 13 - KOMITET WYBORCZY WYBORCÓW TADEUSZA RYBAKA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Triska Grażyna | 41 | 34,75% | |
| List no. 14 - KOMITET WYBORCZY FORUM SAMORZĄDOWE MIAST I GMIN POWIATU ŻARSKIEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Żurman Bożena | 40 | 33,90% | |