[RIDE ALONG LSSD REQUEST] MAD DUNGIE
Posted: Sat Oct 04, 2025 1:39 pm

RIDE ALONG REQUEST
1. PERSONAL INFORMATION
- 1.1 FULL NAME
- FIRST NAME: MAD
MIDDLE NAME:
LAST NAME: DUNGIE
- FIRST NAME: MAD
2. DATE OF BIRTH
- DOB (DD/MM/YYYY): 03/08/1996
Nationality: INDONESIA
Gender: MAN
- DOB (DD/MM/YYYY): 03/08/1996
By signing this document, I acknowledge that the opportunity to participate in the Los Santos
Sheriff 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.
Sheriff 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.
Sincerely yours,
your signature
[MAD DUNGIE]
your signature
[MAD DUNGIE]