SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
Last Name: Juffer | First Name: Andrian | Date: 22/01/2025 | DOB: 20/03/2002 |
Age: 23 | Address: Los Santos | Phone Number: 758771 | Nationality: Amerika |
Documents:
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
Andrian Juffer
1 p