RIDE ALONG REQUEST
1. PERSONAL INFORMATION
- 1.1 FULL NAME
- FIRST NAME: Nadaraya.
MIDDLE NAME: -.
LAST NAME: Historia.
- FIRST NAME: Nadaraya.
2. DATE OF BIRTH
- DOB(DD/MM/YYYY): 20/10/2004.
Nationality: Indonesia.
Gender: Woman.
- DOB(DD/MM/YYYY): 20/10/2004.
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
NADARAYA HISTORIA
your signature
NADARAYA HISTORIA