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SA-GOV/CRI/0000 San Andreas Department of Corrections and Rehabilitation CRIMINAL HISTORY RECORD REQUEST |
| Last Name: Syabil | First Name: Jidan | Date: 26/10/2024 | DOB: 26/11/1998 |
| Age: 26 years old | Address: Jefferson Motel | Phone Number: 801562 | Nationality: USA |
| Pelengkap dokumen sebagai penduduk, dan keperluan untuk mendaftar pekerjaan jika dibutuhkan. |
Documents:
ID Card
Appearance
I understand that I am obligated to be complete and truthful in providing information on this application. I understand that all of information disclosed by me in this application may be subject to public disclosure, and all data above that requested to the Police Department will be stored permanently in the SACDR Administrative Services Office and will show all of my databases and records during I stay in San Andreras. I, hereby declare that I have read and understood the restrictions, and understand the consequences that follow by violating the license rules and restrictions. I also hereby consent and approve the form stated above..
Please submit this application along with a check or money order in the amount payable to the LSPD. Submit a separate application and payment for each requested report. Mail the application with your payment.
Los Santos, 26/10/2024
Jidan Syabil
