Ride Along Request LSPD - Yayan Dalimunthe

[Bagas King]

RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME:Yayan
    MIDDLE NAME:-
    LAST NAME:Dalimunthe

2. DATE OF BIRTH

• • DOB(DD/MM/YYYY):2001/01/01
    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
[NAME]

[Favian Fortis]

ACCEPTED

Dear Mr. Dalimunthe

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 16/11/2025.

Please arrive at the front desk of the Alta Head Quarter Station, located at Alta Street.

Sincerely,

Lt. Favian Fortis Rattlesnake Roosenfield
Los Santos Police Department

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