| gm. Chłopice, Precinct no. 5, Constituency no. 4 | |
| Constituency | Constituency no. 4 |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Jankowice, 37-561 Chłopice |
| Number of electors | 637 |
| Number of dispensed ballot cards | 191 |
| Number of valid ballot cards | 191 |
| Number of votes valid | 191 |
| Number of votes invalid | 0 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 29-04-2012 22:14 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW NASZA WIEŚ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Cukier Henryk Józef | 54 | 28,27% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW IRENY MARCIAK | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Marciak Irena | 99 | 51,83% | |
| List no. 3 - KOMITET WYBORCZY WYBORCÓW STANISŁAW MAGA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Maga Stanisław | 38 | 19,90% | |