| gm. Puławy, Precinct no. 3, Constituency no. 4 | |
| Constituency | Constituency no. 4 |
| Precinct | Precinct no. 3 |
| Electoral Commission Regional Headquarters | Gminny Ośrodek Kultury sala Nr 1, ul. Folwarki 1, Gołąb, 24-100 Puławy |
| Number of electors | 1 972 |
| Number of dispensed ballot cards | 231 |
| Number of valid ballot cards | 231 |
| Number of votes valid | 230 |
| Number of votes invalid | 1 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 27-12-2012 12:53 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW D. SKIBIŃSKIEJ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Skibińska Dorota Zofia | 124 | 53,91% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW WOJCIECHA JABŁOŃSKIEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Jabłoński Wojciech Adam | 106 | 46,09% | |