| Elections to the Senate The Republic of Poland |
| gm. Ziębice, Precinct no. 21 , Constituency no. 5 |
| Electoral Commission Regional Headquarters: | Polskie Centrum Zdrowia Instytut Medyczny w Ziębicach, ul.Kolejowa 29 , Ziębice 57-220 Ziębice |
| Number of electors | 62 |
| Number of dispensed ballot cards | 12 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Number of cards removed from urn | 12 |
| Number of invalid ballot cards | 0 |
| Number of valid ballot cards | 12 |
| Number of votes invalid | 1 |
| Number of votes valid | 11 |
| Date of the impact of a protocol to visualize | 10-10-2011 06:11 |
