RIDE ALONG REQUEST - VJ Smith

[Vj Smith]

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RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME:VJ
    MIDDLE NAME:-
    LAST NAME: Smith

2. DATE OF BIRTH

• • DOB(DD/MM/YYYY):(12/08/2001)
    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 officer, Chief of
Police, or his designee can discontinue my participation in the ride-along program at any
time.

Sincerely yours,
your signature
[VJ Smith]