RIDE ALONG REQUEST
1. PERSONAL INFORMATION
- 1.1 MILLOXX DUH
- FIRST NAME: MILLOXX
MIDDLE NAME: -
LAST NAME: DUH
- FIRST NAME: MILLOXX
2. DATE OF BIRTH
- DOB(18/12/1941):
Nationality: Indonesia Gender: MALE
- DOB(18/12/1941):
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,
your signature
[NAME]
your signature
[NAME]