|
SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
| Last Name: Houstin | First Name: Frederick | Date: 25/12/2024 | DOB: 02/01/2000 |
| Age: 24 | Address: las Vanturas | Phone Number: 525109 | 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, 25/12/2024
Frederick Houstin
