RIDE ALONG REQUEST
1. PERSONAL INFORMATION
- 1.1 FULL NAME
- FIRST NAME: Matum
MIDDLE NAME: -
LAST NAME: Bimo
- FIRST NAME: Matum
2. DATE OF BIRTH
- DOB(DD/MM/YYYY): 18/05/1997
Nationality: Indonesia Gender: MALE
- DOB(DD/MM/YYYY): 18/05/1997
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,
Matum Bimo
[NAME]
Matum Bimo
[NAME]