| Candidate informations | ||||
| Surname and names | Age | Address | Endorsement | Constituency number |
| Basalska Ewa Maria | 44 | Jelenia Góra | 2 | |
| Number of votes for candidate | Percent of valid votes in constituency | Number of votes for the list | Percent of votes for the candidate relating to votes for the list | Mandate |
| 29 | 0.46% | 982 | 2,95% | Nie |