|
SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
| Last Name: Hiroshi | First Name: Han | Date: 10/12/2024 | DOB: 26/01/1999 |
| Age: 25 | Address: Los Santos | Phone Number: 490037 | Nationality: Japan |
Documents:
ID Card
Driving License
I understand that I am obligated to be complete and truthful in providing information on this application. I have read, understand and agree with the contents of this form, including the certifications on the back of this form. I certify under penalty of perjury under the laws of the State of California that all the information on this form is true and correct.
Los Santos, 10/12/2024
Han Hiroshi
