Ride-along Program Request - Qyo Pinokio

[Pinokio]

RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME: Qyo
    MIDDLE NAME: Pinokio
    LAST NAME:

2. DATE OF BIRTH

• • DOB (DD/MM/YYYY): 04/03/2001
    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 deputy, Sheriff, or his designee can discontinue my participation in the ride-along program at any
time.

Sincerely yours,
Qyo Pinokio
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