|
SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
| Last Name: Lezovly | First Name: Zen | Date: 11/12/2024 | DOB: 19/09/2002 |
| Age: 22 | Address: Los Santos | Phone Number: 525942 | Nationality: United States |
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, 11/12/2024
Zen Lezovly
