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SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
| Last Name: Oktaviani | First Name: Clara | Date: 15/12/2024 | DOB: 07/10/2001 |
| Age: 23 | Address: Palomino Creek | Phone Number: 541675 | Nationality: USA |
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, 15/12/2024
Clara Oktaviani
