[RIDE ALONG REQUEST] Shein Yamada

[Shein yamada]

RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME: Shein
    MIDDLE NAME:
    LAST NAME:Yamada

2. DATE OF BIRTH

• • DOB(DD/MM/YYYY):[1998/06/09]
    Nationality:[Japan]
    Gender:[Female]

By signing this document, I acknowledge that the opportunity to participate in the Los Santos
Police Department Ride-Along Program is a privilege and that the assigned officer, Chief of
Police, or his designee can discontinue my participation in the ride-along program at any
time.

Sincerely yours,
your signature
[Daki duk]