| gm. Kłodawa, Precinct no. 12 |
| Vote on 09-12-2012 | |
| Precinct | Precinct no. 12 |
| Electoral Commission Regional Headquarters | Świetlica Wiejska, Krzykosy 83, 62-650 Kłodawa |
| Number of electors | 351 |
| Number of dispensed ballot cards | 66 |
| Number of valid ballot cards | 66 |
| Number of votes valid | 63 |
| Number of votes invalid | 3 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 09-12-2012 22:20 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 3 | Olejniczak Robert Arkadiusz | 43 | średnie | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW ROBERTA OLEJNICZAKA, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 45 | 71,43% | |
| 5 | Sarnociński Włodzimierz Ryszard | 51 | wyższe | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW WŁODZIMIERZA SARNOCIŃSKIEO POPIERANY PRZEZ INICJATORÓW REFERENDUM, not a member of any political party | 18 | 28,57% | |
| Vote on 25-11-2012 | |
| Precinct | Precinct no. 12 |
| Electoral Commission Regional Headquarters | Świetlica Wiejska, Krzykosy 83, 62-650 Kłodawa |
| Number of electors | 351 |
| Number of dispensed ballot cards | 108 |
| Number of valid ballot cards | 108 |
| Number of votes valid | 106 |
| Number of votes invalid | 2 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 25-11-2012 22:24 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Chudy Józef | 61 | wyższe | Cząstków, submitted by KOMITET WYBORCZY WYBORCÓW JÓZEFA CHUDY, not a member of any political party | 46 | 43,40% | |
| 2 | Danielewicz Leszek Henryk | 61 | wyższe | Poznań, submitted by KOMITET WYBORCZY WYBORCÓW L.DANIELEWICZA "NASZA WSPÓLNA GMINA", not a member of any political party | 12 | 11,32% | |
| 3 | Olejniczak Robert Arkadiusz | 43 | średnie | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW ROBERTA OLEJNICZAKA, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 21 | 19,81% | |
| 4 | Ratajczyk Wiesław Bronisław | 49 | wyższe | Kobylata, submitted by KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE, member of Polskiego Stronnictwa Ludowego | 15 | 14,15% | |
| 5 | Sarnociński Włodzimierz Ryszard | 51 | wyższe | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW WŁODZIMIERZA SARNOCIŃSKIEO POPIERANY PRZEZ INICJATORÓW REFERENDUM, not a member of any political party | 4 | 3,77% | |
| 6 | Stremlau Ryszard Józef | 58 | zawodowe | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW RYSZARDA STREMLAU - DOBRY GOSPODARZ, not a member of any political party | 8 | 7,55% | |