SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
Last Name: Rotwell | First Name: Mapin | Date: 22/01/2025 | DOB: 10/11/2000 |
Age: 24 | Address: Glen Park | Phone Number: 55379 | Nationality: United States of America |
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, 22/01/2025
Mapin Rotwell