| gm. Dzierżoniów, Precinct no. 10, Constituency no. 3 | |
| Constituency | Constituency no. 3 |
| Precinct | Precinct no. 10 |
| Electoral Commission Regional Headquarters | Budynek Wielofunkcyjny, Roztocznik 41A, 58-217 Gilów |
| Number of electors | 6 |
| Number of dispensed ballot cards | 4 |
| Number of valid ballot cards | 4 |
| Number of votes valid | 3 |
| Number of votes invalid | 1 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 23-09-2012 22:11 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW TOMASZA WŁODKA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Włodek Tomasz Stanisław | 3 | 100,00% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW GRZEGORZA WŁODKA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Włodek Grzegorz Kazimierz | 0 | 0,00% | |