RIDE ALONG REQUEST MARCEL XAVERIUS

[Marcel Xaverius]

RIDE ALONG REQUEST MARCEL XAVERIUS

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME : MARCEL
    MIDDLE NAME :
    LAST NAME : XAVERIUS

2. DATE OF BIRTH

• • DOB(DD/MM/YYYY) : 25/07/1999
    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
[MARCEL XAVERIUS]

[Andrew Kennedy]

ACCEPTED

Dear Mr. Xaverius,

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 06/08/2025. Please arrive at the front desk of the MRPD Station, located at MRPD.

Sincerely,
Andrew Kennedy
Los Santos Police Department