| gm. Gostynin, Precinct no. 12, Constituency no. 15 | |
| Council name | Rada Gminy Gostynin |
| Constituency | Constituency no. 15 |
| Precinct | Precinct no. 12 |
| Electoral Commission Regional Headquarters | Świetlica SPZZOZ w szpitalu, Gorzewo ul Kruk 5, Gorzewo |
| Number of electors | 18 |
| Number of dispensed ballot cards | 9 |
| Number of valid ballot cards | 9 |
| Number of votes valid | 9 |
| Number of votes invalid | 0 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 22:51 |
| List no. 2 - KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Tomczak Zdzisław | 0 | 0,00% | |
| List no. 4 - KOMITET WYBORCZY PLATFORMA OBYWATELSKA RP | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Staniszewska Marzena Agnieszka | 5 | 55,56% | |
| List no. 23 - KOMITET WYBORCZY WYBORCÓW SIEMOWIT IV | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Sikorski Czesław | 4 | 44,44% | |
| List no. 25 - KOMITET WYBORCZY WYBORCÓW "NOWE OBLICZE" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Leśniewska Renata | 0 | 0,00% | |