| gm. Borek Wielkopolski, Precinct no. 3, Constituency no. 5 | |
| Constituency | Constituency no. 5 |
| Precinct | Precinct no. 3 |
| Electoral Commission Regional Headquarters | Urząd Miejski Borek Wlkp.,ul. Rynek1, Borek Wlkp. |
| Number of electors | 359 |
| Number of dispensed ballot cards | 201 |
| Number of valid ballot cards | 201 |
| Number of votes valid | 199 |
| Number of votes invalid | 2 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 12-06-2011 22:12 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW TADEUSZA TOMCZAKA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Tomczak Tadeusz | 37 | 18,59% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW MICHAŁA STANISŁAWA DOPIERAŁY | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Dopierała Michał Stanisław | 83 | 41,71% | |
| List no. 3 - KOMITET WYBORCZY WYBORCÓW IRENEUSZA JÓZEFA KUBIAKA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Kubiak Ireneusz Józef | 58 | 29,15% | |
| List no. 4 - KOMITET WYBORCZY WYBORCÓW ZIEMI BORECKIEJ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Misiak Arkadiusz Jan | 21 | 10,55% | |