| gm. Rokitno, Precinct no. 3, Constituency no. 12 | |
| Constituency | Constituency no. 12 |
| Precinct | Precinct no. 3 |
| Electoral Commission Regional Headquarters | Świetlica OSP w Kołczynie, Kołczyn 24, 21-504 Rokitno |
| Number of electors | 151 |
| Number of dispensed ballot cards | 59 |
| Number of valid ballot cards | 59 |
| Number of votes valid | 59 |
| Number of votes invalid | 0 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 18-09-2011 22:21 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW LUDOWCY | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Krupska Bernarda Maria | 15 | 25,42% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW GMINA ROKITNO - MOJA MAŁA OJCZYZNA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Klebaniuk Justyna | 44 | 74,58% | |