LOS SANTOS POLICE DEPARTMENT

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[divbox=white][center][img]https://imagizer.imageshack.com/v2/200x200q70/924/Rs1Hi8.png[/img]
[b][size=150]RIDE ALONG REQUEST[/size][/b]
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[lspdsubtitle=#008040]1. PERSONAL INFORMATION[/lspdsubtitle]
[divbox=white][list=none][b]1.1[/b] FULL NAME[/list]
[list=none][list=none]

[b]FIRST NAME:[/b] Kem
[b]MIDDLE NAME:[/b] 
[b]LAST NAME:[/b] Milo

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[lspdsubtitle=#008040]2. DATE OF BIRTH[/lspdsubtitle]
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[list=none][list=none]

[b]DOB (DD/MM/YYYY):[/b] 28/11/2004
[b]Nationality:[/b] Indonesia
[b]Gender:[/b] Male

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[lspdsubtitle=#008040][center]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 deputy, Sheriff, or his designee can discontinue my participation in the ride-along program at any
time.[/center][/lspdsubtitle]
[right]Sincerely yours,
your signature
[Kem Milo][/right][/divbox]