1. PERSONAL INFORMATION
1.1 FULL NAME
FIRST NAME: Lucius
MIDDLE NAME:
LAST NAME: Magnus
2. DATE OF BIRTH
DOB(DD/MM/YYYY): 25 04 2000
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
[Lucius Magnus]