RIDE ALONG REQUEST - DEVANO DANENDRA

[devanodanendra]

RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME:[Devano]
    MIDDLE NAME:[]
    LAST NAME:[Danendra]

2. DATE OF BIRTH

• • DOB(DD/MM/YYYY):[04 07 2004]
    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
[Devano Danendra]