AFFIDAVIT OF NON-CONVICTION

I, , Date of Birth: , Mailing Address: ,

swear as evidenced by my signature affixed below that, at the time of filing for candidacy with the Guam Election Commission, I have not been convicted of a criminal felony or a misdemeanor involving criminal sexual conduct or crime of moral turpitude in any State or Territory of the United States or foreign country.

With this signed affidavit, I have submitted:

• (1)