 
| Candidate informations | ||||
| Surname and names | Age | Address | Endorsement | Constituency number | 
| Gołąb Irena | 51 | 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 | 
| 32 | 0.45% | 1271 | 2,52% | Nie |