RIDE ALONG REQUEST
1. PERSONAL INFORMATION
- 1.1 FULL NAME
- FIRST NAME:XEAN
MIDDLE NAME:
LAST NAME:JANU
- FIRST NAME:XEAN
2. DATE OF BIRTH
- DOB(DD/MM/YYYY): 31/01/2002
Nationality: Indonesia
Gender:MALE
- DOB(DD/MM/YYYY): 31/01/2002
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.
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
[NAME]
your signature
[NAME]
