| gm. Trzebiel, Precinct no. 5, Constituency no. 11 | |
| Constituency | Constituency no. 11 |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, ul. Kościelna 25, Żarki Wielkie |
| Number of electors | 613 |
| Number of dispensed ballot cards | 201 |
| Number of valid ballot cards | 201 |
| Number of votes valid | 201 |
| Number of votes invalid | 0 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 17-04-2011 22:29 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW GACKI JAN | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Gacki Jan Marian | 112 | 55,72% | |
| List no. 2 - KOMITET WYBORCZY FORUM SAMORZĄDOWE MIAST I GMIN POWIATU ŻARSKIEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Górski Michał | 32 | 15,92% | |
| List no. 3 - KOMITET WYBORCZY WYBORCÓW ZBIGNIEW CHROMIK | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Chromik Zbigniew | 57 | 28,36% | |