[RIDE ALONG REQUEST] Kumala Kutilang

[Kumala Kutilang]

RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME: Kumala
    MIDDLE NAME:
    LAST NAME: Kutilang

2. DATE OF BIRTH

• • DOB (DD/MM/YYYY): 13/07/2001
    Nationality: Jawa Tengah
    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 deputy, Sheriff, or his designee can discontinue my participation in the ride-along program at any
time.

Sincerely yours,
your signature
[Kem Milo]

[Sena Norris]

ACCEPTED

Dear [Mr./Ms/Mrs.] [Last Name],

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. Please arrive at the front desk of the RSO Station,

Sincerely,
[TTD]
Sena Norris
Los Santos Sheriff Department