| Candidate informations | ||||
| Surname and names | Age | Address | Endorsement | Constituency number |
| Wieczorek Jacek | 61 | Gorzów Wlkp. | 4 | |
| 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 |
| 33 | 0.44% | 1326 | 2,49% | Nie |