Ride Along Request [Dikala Petrikor]

[Dikala Petrikor]

RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME: Dikala
    MIDDLE NAME:-
    LAST NAME: Petrikor

2. DATE OF BIRTH

• • DOB(05/05/2000):
    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]