|
SAN ANDREAS DEPARTMENT OF MOTORVEHICLE Commercial License Registration |
| Last Name: Suprapto | First Name: Rudi | Date: 07/12/2024 | DOB: 24/02/1995 |
| Age: 29 | Address: Los Santos | Phone Number: 377880 | 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, 07/12/2024
Rudi_Suprapto
