| Candidate informations | ||||
| Surname and names | Age | Address | Endorsement | Constituency number |
| Szafrańska-Słupecka Izabella Maria | 67 | Gorzów Wlkp. | 3 | |
| 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 |
| 184 | 2.36% | 1158 | 15,89% | Nie |