RIDE ALONG REQUEST
1. PERSONAL INFORMATION
- 1.1 FULL NAME
- FIRST NAME:[/b } Udin
MIDDLE NAME:
LAST NAME: Panto
- FIRST NAME:[/b } Udin
2. DATE OF BIRTH
- DOB(DD/MM/YYYY): 10 09 2003
Nationality: INGGRIS
Gender: MALE
- DOB(DD/MM/YYYY): 10 09 2003
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
[DYLLAND ELARION ]
your signature
[DYLLAND ELARION ]