| gm. Poniatowa, Precinct no. 5, Constituency no. 4 | |
| Constituency | Constituency no. 4 |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Liceum Ogólnokształcące, ul. 11 Listopada 5, 24-320 Poniatowa |
| Number of electors | 1 145 |
| Number of dispensed ballot cards | 167 |
| Number of valid ballot cards | 167 |
| Number of votes valid | 165 |
| Number of votes invalid | 2 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 10-09-2012 10:35 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW "PRZEDWIOŚNIE" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Jarosz Sławomir Hipolit | 1 | 0,61% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW MOJA MAŁA OJCZYZNA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Dębicki Jerzy Józef | 93 | 56,36% | |
| List no. 3 - KOMITET WYBORCZY WYBORCÓW EUGENIUSZA CHYŁY | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Chyła Eugeniusz | 71 | 43,03% | |