[RIDE ALONG REQUEST] MAD DUNGIE

[shenzha]

RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME: Mad
    MIDDLE NAME:
    LAST NAME: Dungie

2. DATE OF BIRTH

03-08-1996

• • DOB(DD/MM/YYYY): 03/08/1996
    Nationality: Indonesia Gender: MALE

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
[MAD DUNGIE]

[Toki Lucifer]

/

ACCEPTED

Dear Mr. Dungie,

We are pleased to inform you that your application to participate in the Los Santos Police Department Ride-Along Program has been reviewed and approved.

Your scheduled ride-along will take place on 29/09/2025 at 14:00. Please arrive at the front desk of the LSPD Station, located at Mission Row.

Sincerely,
Toki Lucifer
Sergeant I
Los Santos Police Department