RIDE ALONG PROGRAM - Pusaka Djayadiningrat

[PusakaDjayadiningrat]

RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME: Pusaka.
    MIDDLE NAME: Answer.
    LAST NAME: Djayadiningrat

2. DATE OF BIRTH

• • DOB(DD/MM/YYYY): 03/03/1993
    Nationality: Suriname
    Gender: Man

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
[YOUR NAME HERE]

[Dimitri Pavlenkov]

ACCEPTED

Dear Mr. Pusaka Djayadiningrat

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 07/07/2025. Please arrive at the front desk of the MRPD Station, located at MRPD.

Sincerely,
Sergeant Dimitri Pavlenkov
Los Santos Police Department