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| Surname and names | Age | Address | Endorsement | Constituency number |
| Ratajczyk Jadwiga Elżbieta | 58 | Grodzisk Wielkopolski | 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 |
| 86 | 7.21% | 86 | 100,00% | Nie |
| Results for constituency no. 4 by precincts | |||
| No | Address | Number of votes | Percent of valid votes |
| 3 | Gimnazjum, ul. 3 Maja 5, Grodzisk Wielkopolski | 22 | 4.62% |
| 8 | Liceum Ogólnokształcące, ul. 3 Maja 7, Grodzisk Wielkopolski | 64 | 9.05% |
| 10 | Samodzielny Publiczny Zakład Opieki Zdrowotnej, Oddział Chirurgiczny, ul. Mossego 3, Grodzisk Wielkopolski | 0 | 0.00% |
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