 
| Candidate informations | ||||
| Surname and names | Age | Address | Endorsement | Constituency number | 
| Szustak Halina Maria | 65 | Legnica | 5 | |
| 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 | 
| 27 | 0.38% | 81 | 33,33% | Nie |