3 GCA § 10103: Application Form for Absentee Ballot.

(a) Application for an absentee ballot shall be made substantially in the following form:

“APPLICATION FOR ABSENTEE BALLOT TO BE VOTED

AT THE ELECTION ON GUAM ON THE

_________________ DAY OF ________, 20_____ District

or Municipality __________________.

I, (Print or type full name)

____________________________, do solemnly swear that

I am a resident of Guam and of the district or municipality

of ___________________________, and that I am a duly

qualified elector entitled to vote at said election; that I am

not voting in any other jurisdiction; that I understand the

prohibitions against and the penalty for voting in any

election of Guam if I vote in another U.S. jurisdiction; that

my occupation is _________; and that on account of

____________________, I cannot be at the polls on

election day; I hereby make application for an official ballot

to be voted by me at such election, and that I will return said

ballot to the office of the Guam Election Commission

before the time of the closing of the polls on election day.

SIGNED _______________________________

DATED this ______ day of ________, 20______.

(Permanent Mailing Address)

Full Name:

_______________________________

Address:

_______________________________

_______________________________

Date of Birth:

_______________________________

(Present Mailing Address)

Full Name:

_______________________________

Address:

_______________________________

Date of Birth:

_______________________________

Subscribed and sworn to before me this ____ day of

______, 20___.

_______________________________________

Print or Type Full Name

___________________________________

Signature

__________________________

Title or Rank

Mailing Address _______________________

_______________________

_______________________”

(b) Any application from elsewhere other than Guam shall be fully completed and documented in accordance with Election Commission regulations that applicant is entitled to vote under the provisions of this Chapter.

(c) Any applicant who fails to complete and document his or her application for a ballot in accordance with Commission regulations shall be denied a ballot, and his or her name will be stricken from the register of qualified voters in accordance with Chapter 3 of this Title.