| gm. Głogów Małopolski, Precinct no. 15, Constituency no. 1 | |
| Constituency | Constituency no. 1 |
| Precinct | Precinct no. 15 |
| Electoral Commission Regional Headquarters | Gminny Dom Kultury i Biblioteka w Głogowie Małopolskim, Kardynała Stefana Wyszyńskiego 12, 36-060 Głogów Małopolski |
| Number of electors | 2 209 |
| Number of dispensed ballot cards | 371 |
| Number of valid ballot cards | 371 |
| Number of votes valid | 369 |
| Number of votes invalid | 2 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 11-12-2011 22:20 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW "GŁOGOWIANIE" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Bednarz Artur Krzysztof | 22 | 5,96% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW WSPÓLNOTA ZIEMI GŁOGOWSKIEJ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Sycz Zbigniew | 225 | 60,98% | |
| List no. 3 - KOMITET WYBORCZY WYBORCÓW FORUM SAMORZĄDOWE GMINY GŁOGÓW MŁP. | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Kotula Eugenia | 43 | 11,65% | |
| List no. 5 - KOMITET WYBORCZY WYBORCÓW "NASZ GŁOGÓW" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Pado Ryszard Stefan | 41 | 11,11% | |
| List no. 6 - KOMITET WYBORCZY WYBORCÓW DLA DOBRA GMINY I MIASTA GŁOGOWA MAŁOPOLSKIEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Inglot Jan Wincenty | 38 | 10,30% | |