RIDE ALONG REQUEST
1. PERSONAL INFORMATION
- 1.1 FULL NAME
- FIRST NAME: Musa
MIDDLE NAME:
LAST NAME:Kona
- FIRST NAME: Musa
2. DATE OF BIRTH
- DOB(DD/MM/YYYY):[2000/07/18]
Nationality:[Indonesia]
Gender:[Male]
- DOB(DD/MM/YYYY):[2000/07/18]
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
[Musa Kona]
your signature
[Musa Kona]