SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
Last Name: Leegham | First Name: Kheeytham | Date: 20/1/2025 | DOB: 01/01/2003 |
Age: 22 Tahun | Address: Los Santos | Phone Number: 404840 | Nationality: Indonesia |
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, 20/1/2025
Kheeytham Leegham