| gm. Gostynin, Precinct no. 12 |
| Vote on 05-12-2010 | |
| Office | Wójt Gminy Gostynin |
| Precinct | Precinct no. 12 |
| Electoral Commission Regional Headquarters | Świetlica SPZZOZ w szpitalu, Gorzewo ul Kruk 5, Gorzewo |
| Number of electors | 7 |
| Number of dispensed ballot cards | 1 |
| Number of valid ballot cards | 1 |
| Number of votes valid | 1 |
| Number of votes invalid | 0 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 05-12-2010 22:02 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 2 | Krzewicki Jan Kazimierz | 68 | średnie | Kozice, submitted by KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE, member of Polskiego Stronnictwa Ludowego | 0 | 0,00% | |
| 4 | Zieliński Edmund | 50 | wyższe | Sokołów, submitted by KOMITET WYBORCZY WYBORCÓW "NOWE OBLICZE", endorsed by Prawo i Sprawiedliwość, not a member of any political party | 1 | 100,00% | |
| Vote on 21-11-2010 | |
| Office | Wójt Gminy Gostynin |
| 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 | 8 |
| Number of votes invalid | 1 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 22:40 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Biniewicz Wojciech Paweł | 35 | wyższe | Sieraków, submitted by KOMITET WYBORCZY PLATFORMA OBYWATELSKA RP, not a member of any political party | 3 | 37,50% | |
| 2 | Krzewicki Jan Kazimierz | 68 | średnie | Kozice, submitted by KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE, member of Polskiego Stronnictwa Ludowego | 2 | 25,00% | |
| 3 | Mosakowski Tadeusz Antoni | 52 | wyższe techniczne | Gostynin, submitted by KOMITET WYBORCZY WYBORCÓW SIEMOWIT IV, not a member of any political party | 2 | 25,00% | |
| 4 | Zieliński Edmund | 50 | wyższe | Sokołów, submitted by KOMITET WYBORCZY WYBORCÓW "NOWE OBLICZE", endorsed by Prawo i Sprawiedliwość, not a member of any political party | 1 | 12,50% | |