RIDE ALONG REQUEST BANGSUS KAGAMIYA

[Bangsus Kagamiya]

RIDE ALONG REQUEST BANGSUS KAGAMIYA

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME: BANGSUS
    MIDDLE NAME: -
    LAST NAME: KAGAMIYA

2. DATE OF BIRTH

• • DOB (DD/MM/YYYY): [16/07/2000]
    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
[NAME]

[Jianyu Zhang]

ACCEPTED

Dear Mr. KAGAMIYA


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 13/08/2025. Please arrive at the front desk of the MRPD Station, located at MRPD.

Sincerely,
Police Officer III Jianyu Zhang
Los Santos Police Department