RIDE ALONG REQUEST LSPD - [BURHAN TAMPOL]

[Burhan Tampol]

RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME: BURHAN
    MIDDLE NAME:
    LAST NAME: TAMPOL

2. DATE OF BIRTH

• • DOB(15/04/2000):
    Nationality: Indonesia Gender: MALE

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.

Sincerely yours,
your signature
[BURHAN TAMPOL]

[Thomas Gaviria]

ACCEPTED

Dear Mr. Tampol,

We are pleased to inform you that your application to participate in the Los Santos Police Department Ride-Along Program has been reviewed and approved.

Your scheduled ride-along will take place on 23/10/2025. Please arrive at the front desk of the LSPD Station, located at Alta Street Police Department.

Sincerely,
Thomas Gaviria
Los Santos Police Department