RIDE ALONG PROGRAM - Pusaka Djayadiningrat
Posted: Sat Jul 05, 2025 10:41 pm
RIDE ALONG REQUEST
1. PERSONAL INFORMATION
- 1.1 FULL NAME
- FIRST NAME: Pusaka.
MIDDLE NAME: Answer.
LAST NAME: Djayadiningrat
- FIRST NAME: Pusaka.
2. DATE OF BIRTH
- DOB(DD/MM/YYYY): 03/03/1993
Nationality: Suriname
Gender: Man
- DOB(DD/MM/YYYY): 03/03/1993
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
[YOUR NAME HERE]
your signature
[YOUR NAME HERE]