SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
Last Name: Sutisna | First Name: Jamal | Date: 30/01/2025 | DOB: 08/01/2000 |
Age: 25 | Address: Las Colinas | Phone Number: 293573 | Nationality: Indonesian |
Documents:
ID Card
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Driving License
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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, 30/01/2025
Jamal Sutisna